Member Experience Associate
This job is no longer available
There are still lots of open positions. Let's find the one that's right for you.
About The Position
Alignment Health is seeking a passionate, highly motivated, and detail-oriented remote member experience associate to join the 24/7-remote member experience team. The member experience associate will go above-and-beyond to assist Alignment Health Plan members with their concerns or complaints and provide the necessary information and education to resolve issues. If you are wanting to learn and grow, be part of an expanding healthcare organization, and are passionate about positively impacting the lives of seniors, we're looking for YOU! This is a remote, healthcare, high-volume contact center where you will play a crucial role in ensuring that our members receive the best possible service and support. In this role, you will be responsible for explaining the plan's procedures, protocols, benefits, services, and any other necessary information to the members who call or visit the member experience department. You will facilitate member requests for changes, such as network provider changes and transportation requests, and ensure that all incoming member phone calls are answered within the department's goal time frame. Documenting every incoming call with pertinent details is essential, as is responding to complaints against the health plan and its contracted facilities by utilizing the department's complaint/grievance policy and procedure. You will also make all attempts to resolve member dis-enrollment/cancellation requests, complaints/grievances, and assist members with their questions or concerns, following up as appropriate. Assisting with member outreach programs and implementations as needed will also be part of your responsibilities. Fostering good corporate relations by practicing good customer service principles, such as maintaining a positive attitude and being helpful, is crucial. Additionally, you will perform other duties as assigned by your manager, contributing to the overall success of the member experience team.
