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Customer Support
Customer Service Representative
Hyattsville, MD

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Now viewing: Senior Member Services Representative (Care Navigation & Advocacy)
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Rose International

Senior Member Services Representative (Care Navigation & Advocacy)

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Job Description

Required/Preferred Education
  • High School Diploma/Associate degree
Expected Shift:
8:00 AM - 5:00 PM EST
    Specific Systems Knowledge Required:
    MCT
      Any Required Certifications:
      NoTop Three things Worker will be doing
      • Answer member calls, Outbound calls and responding to emailsTop Three Skillsets needed
      • Care Navigation & Member Advocacy, Complex Issue Resolution & Escalation Management and Benefits & Product Expertise
      • Anything else important we need to know to fill your role: We need someone who has a KP background and have great customer service skillsSpecific Systems Knowledge Preferred
      • MCT, HP CHATS, Health Connect and MQVJob Overview (Insert Job Description from Req.)
      • The Senior Customer Service Representative will provide specialized concierge-style member advocacy, care navigation, network navigation, and service support for members enrolled in a Choice Product insurance plan
      • This role serves as a primary member contact, delivering a high-touch service experience through proactive outreach, ongoing issue resolution, complex care coordination support, and ongoing member engagement
      • The position will work collaboratively with clinical, operational, and service teams to help members navigate benefits, access care and services, resolve complex issues, and achieve a seamless experience throughout their participation in the pilot program.
      Interview Process:
      2 people via teams
      • Only those lawfully authorized to work in the designated country associated with the position will be considered.
      • Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.
      •

      Benefits

      • Dental Insurance