Member Relations Coordinator

Shift: Monday-Friday 8am- 5pm

Spanish Speaking highly desired

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer.

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works.

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.

Job Summary

The Member Relations Coordinator (MRC) is the heart and smile of AbsoluteCare with accountability for concerns, experiences, and the voice of our members. The Member Relations Coordinator facilitates continual member engagement as a voice and advocate for the member.

The MRC provides direct support to our members and our care teams to increase member engagement and satisfaction. The MRC serves as the point of contact for member feedback and annual surveys and works alongside local leadership for action planning and improvement. The MRC will be comfortable working with vulnerable membership populations and will have ownership of processes including provider switch requests, PCP change forms, disenrollment discussions, and disciplinary action planning. The MRC will have a thorough understanding of member engagement strategies with the goal of member retention and is accountable for leading the Member Advisory Council, as well as responsible for the design and ongoing optimization of the Member Lounge and various member events.

The Member Relations Coordinator is essential to AbsoluteCare by not only providing navigation through the systems at AbsoluteCare for our members, but by ensuring that member experiences are the absolute best from the oldest member to the newest.

Duties and Responsibilities

• Ownership for member feedback process including reporting, facilitating resolution, and follow-up within a month’s timeframe.
• Collect, encourage, and present member stories during Town Hall Meetings monthly.
• Ownership of PCP Change processes associated with relevant health plan partners.
• Ownership for Annual Member Survey process including disseminate, collect, input and summarize data and support development of action plans.
• Manage and maintain Member Lounge through member activities, reporting damaged/missing furniture, and discuss future improvements daily.
• Ownership of member disciplinary action process including meeting with local leadership, care team, and affected parties to ensure timely resolution and execution of action plan.
• Ownership for provider change request process in collaboration with local leadership as needed.
• Create Member Events Calendar; promote monthly and special events to PCP and Community members and stakeholders to encourage participation and event success.
• Lead Member Advisory Council (MAC) Meetings by obtaining and retaining member participation, collaborating with clinical departments on subject, and act as meeting facilitator and mediator bi-monthly.
• Greet members daily with a warm smile and genuine concern, using face to face opportunities to foster a culture of trust and confidence between members and AbsoluteCare.

Minimum Qualifications

• High School Diploma or equivalent required; Associate degree preferred.
• 2 Experience in customer, patient, or member service role (or similarly relevant role), including maintaining calm, respectful communication in times of member stress or emotionally charged situations.
• Computer proficient in Microsoft Suite data base searches including basic Excel and Word skills, with the ability to learn new computer software.
• Demonstrated experience working with culturally diverse communities.
• Strategic thinker: ability to analyze, develop and implement non-traditional solutions with results, understanding patient population and financial constraints.
• Ability to multi-task, highly organized, and excellent communication skills.
• Excel in developing real-world solutions and is quick to resolve and overcome obstacles.
• Creative and enthusiastic.
• Team and customer service oriented.

Working conditions

This job operates in a professional office environment in AbsoluteCare’s clinical centers. This role routinely uses general office equipment.

Physical requirements

• Ability to communicate clearly and exchange accurate information constantly.
• Ability to remain stationary for long periods of time.
• Repetitious movements.
• Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.
• Ability to occasionally move/lift objects up to 20 pounds.
• Ability to move around within clinical center up to an hour per day.

Direct reports

None.