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Job Number6758Workplace Type : Fully RemoteRemote - CA,California
By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?
At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees.
At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives.
After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth.
As a result, in this fast-growing company, you will find ample support to grow your skills and your career with us.
Individuals with front office medical assistant experience, medical receptionist experience, outbound call center experience, and / or high volume telephonic appointment scheduling experience are highly encouraged to apply!
Overview of the Role :
Alignment Health is seeking a passionate and customer service oriented, remote concierge navigator advocate to join the member engagement team.
As a concierge navigator advocate, you provide outreach and support to ensure all our members have access to the care they deserve.
You will navigate our members through their health care and benefits, and connect the dots between our provider network, health plan operations, and supplemental vendors.
You will be alongside our members every step of the way to ensure they are never alone in their healthcare journey. If you are looking for an opportunity to be a part of a team making a positive impact in the lives of seniors, we're looking for you!
Responsibilities :
Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries;
serve as a subject matter expert in the health care experience that our members navigate daily.
Conduct member outreach phone calls and / or receiving inbound phone calls within the department’s goal timeframe; manage to the member’s communication preferences as possible, which may include time of day, channel, and language;
utilize interpreter service as needed.
analyze available programs, determine program eligibility, and connect member to appropriate provider or vendor.
Conduct real-time documentation and timely wrap-up to support outcomes reporting in all systems / applications as required;
must enter member demographics and information with accuracy and attention to detail, feel responsibility for the quality of our organizational data.
Required Skills and Experience :
and / or inbound call center experience that indicates a higher level of problem-solving such as escalation or resolution
Able to deal with problems involving a few concrete variables in standardized situations.
Must be able and willing to work full-time and over-time annually through the Annual Enrollment Period (October - December) and Open Enrollment Period (January - March)
Essential Physical Functions :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls;
and reach with hands and arms.
The employee frequently lifts and / or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay range : $41,600 - $52,000 Annually
Please note : All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception / deferral).
Alignment Health is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
DISCLAIMER : Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.
Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.
If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at # / .
If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@.
Last updated : 2024-06-15
Full Time
Wholesale
$36k-46k (estimate)
06/17/2024
06/23/2024
alignmenthealthcare.com
AMARILLO, TX
100 - 200
2013
JAMES C HOLCOMB JR
$50M - $200M
Wholesale
Alignment Healthcare is redefining the business of health care by shifting the focus from payments to people. Weve created a new model for health care delivery that cuts costs and improves lives by unraveling the inefficiencies of the current system to drive patients, providers and payers toward a common goal of wellness. Harnessing best practices from Medicare Advantage, our innovative data-management technology allows us to commit to caring for seniors and those who need it most: the chronically ill and frail. Alignment Healthcare provides partners and patients with customized care and servi...ce where they need it and when they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. For more information, please visit www.alignmenthealthcare.com.
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