Member Engagement Representative

SOUTHLAND CARE COORDINATION PARTNERS INCOlympia Fields, IL
1hOnsite

About The Position

The HRS Member Engagement Representative applies excellent member engagement skills to facilitate health risk screening completion by assigned health plan members.

Requirements

  • High School Diploma or Equivalent Required.
  • Minimum of 1 year of Call Center Representative Experience Preferred.
  • Minimum of 1 year in a Customer Service role Preferred.

Nice To Haves

  • Excellent verbal communication skills.
  • Ability to interact with health care professionals in a professional manner.
  • Computer Literate – Word, Google Doc and Excel.
  • Able to multitask, manage time and set priorities.
  • Able to remain coachable and teachable at all times.

Responsibilities

  • Engage Health Plan member and employ professional techniques during verbal communications, electronic correspondence, and text-based interactions with each member.
  • Conduct a large volume of outbound and inbound Member outreach calls in a timely manner.
  • Accurately document all Member outreach calls in our Data Management Solution.
  • Complete Health Risk Screenings on assigned health plan members by asking predefined questions and documenting responses.
  • Proper execution of member referral/concerns/grievances when applicable.
  • Document timely member observations requiring administrative notification of any critical member issues/concerns.
  • Interact with staff and members to optimize workflow efficiency.
  • Follow all Policies and Procedures of SCCP.
  • Comply with Performance Goals / Contract Deliverables.
  • Participate in all SCCP mandatory and CMS regulatory training.
  • Attend all staff meetings – in person or telephone (if unable to attend, responsible for knowledge of content).
  • Abide by all SCCP information security policies, procedures, protocols, and practices.
  • Participate in regular information security management trainings.
  • Develop a comprehensive understanding of SCCP information security policies.
  • Learn to recognize information security risks and report them when they are identified.
  • Comply with SCCP user access policies.
  • Comply with SCCP password policies.
  • Comply with SCCP data protection policies and guidelines.
  • Comply with SCCP internet use policies and guidelines.
  • Abide by SCCP policies and guidelines for protecting personal workspaces from security risks.
  • Abide by SCCP principles and policies related to confidentiality.
  • Demonstrate respect for individual diversity (culture, ethnicity, gender, race, religion, age, economic status).
  • Other duties as assigned by Direct Report.
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