Member Outreach Representative

UHS • McAllen, TX

35d

About The Position

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Member Outreach Representative serves as a call agent reaching out to members to promote quality and wellness programs. The primary function of the outreach agent will be contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products or services, as well as respond to inquiries and assist with quality improvement and member health assessments. The Member Outreach Representative will identify quality insufficiencies and will consult with the department and company’s leaders on quality improvement initiatives and outcomes. Will work non-business hours in order to better reach members via telephone.

Requirements

• High School diploma or equivalent.
• Ability to effectively communicate in English, both verbally and in writing.
• Positive attitude is a must.
• Proficient in Microsoft Office skills.
• Enjoys working in both individual and team settings
• Problem solver – enjoys problem-solving
• Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment
• Good communication and relationship skills
• Strong analytical skills
• Attention to detail
• High level of energy

Nice To Haves

• 3+ years' experience in making outbound calls to members and/or patients preffered.
• 3+years’ customer service experience in a managed care, medical office or health care related field preferred.
• Understanding of health plan departments and functional areas for problem resolution
• Comfortable collecting and tracking performance metrics and managing team to certain performance expectations

Responsibilities

• Contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products or services
• Respond to inquiries and assist with quality improvement and member health assessments
• Identify quality insufficiencies and will consult with the department and company’s leaders on quality improvement initiatives and outcomes
• Work non-business hours in order to better reach members via telephone.

Benefits

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees