Member Retention Representative
Performs outreach to identified new and existing members to help navigate positive experiences with the Health Plan and ensure member satisfaction to minimize rapid disenrollments. Advocates will assist by resolving escalations and complex issues and eliminate service interruptions to retain members. Works under moderate supervision.
Compensation:
$25.46 - $31.86 Hourly
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
- Employer-matched retirement saving funds
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
- Conduct outbound calls to identified “At Risk” members to encourage continued enrollment by ensuring member satisfaction with their current services and address any issues they may have
- On Boarding new enrollees into VNS Health, including assisting with OTC card activation, PCP assignment, verifying contact information, reviewing benefits and guiding them through the plan design.
- Work as a liaison between the Sales/Marketing team and new enrollees to address any issues that arise during after enrollment.
- Participate in VNS Health Member Health Fairs, including member registration, answering questions and providing support during the event.
- Provide on-site presence at VNS Health locations to aid and support, ensuring any issues identified during these visits are addressed. Collaborate with Health Plan teams to resolve member issues and immediately address member dissatisfaction.
- Capture relevant data related to member dissatisfaction and disenrollment and provide internal feedback on how to improve member retention. Identify opportunities for process improvements.
- Ensure a high level of customer satisfaction through proactive support and active listening.
- Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.
- Develops and maintains knowledge of products, services and systems as required.
- Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
- Medicare License, preferred
Education:
- Bachelor's Degree or equivalent work experience, preferred
Work Experience:
- Minimum of two years of experience working with customers in customer service, medical or managed care environment required, required
- Excellent verbal and written communication skills, required
- Willingness to attend appropriate training and certification classes, required
- Connecting customers with resources, required
- Ability to demonstrate excellent service knowledge and hospitality, required
- Possesses optimistic warmth and empathy for the customers’ experience, required
- Technologically savvy, with the ability to quickly learn and navigate different information technology systems, required
- Flexibility to travel to, and work in a physical office site when needed, required
- Bi-lingual skills, preferred
- Experience communicating directly with customers and assessing needs
- Knowledgeable on how to navigate all aspects of medical care and managed care system, health, and wellness, preferred
About Us
VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 125 years, our commitment to health and well-being is what drives us—we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
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Mission & Values
As a team member of VNS Health, you share a passion for improving the health of patients through best-in-class care in the home and the community.
Inclusive Culture
At VNS Health, our priority is to create an environment where every team member feels they belong and are included.
Total Rewards
We provide our team members a well-rounded employment experience, competitive compensation, and a robust and affordable benefits package that serves you and your family. Our Total Rewards Program at VNS Health is an investment in your health, wealth and life.