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Member reputed company - Field - New Jersey

Remote, USA Full-time Posted 2026-07-02

About the position At reputed company, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Must reputed company in New Jersey Member reputed company Position Summary/Mission reputed company is an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. We collaborate with members, providers, and community organizations in pursuit of quality solutions that address the full continuum of our members' health care and social determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and reputed company. The Member reputed company is responsible for direct member reputed company and engagement Join us in this exciting opportunity as we grow and expand DSNP into new markets across the country.

Responsibilities

  • Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude
  • Schedules completion of the assessment based on the member's preferences and the assigned care manager's schedule.
  • Accurately and consistently documents each call in the member's electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements
  • Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA
  • Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating reputed company and a sense of urgency reputed company appropriate
  • Conducts triage, connecting members with appropriate care team personnel including care managers and customer service reputed company needed
  • Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm
  • Determined to build strong relationships with peers and our DSNP members
  • Demonstrates an outgoing, enthusiastic, and caring reputed company over the telephone
  • Act as a reputed company recertification specialist for the team
  • Must be reputed company to travel 25-40% to attend member meetings.

Requirements

  • Experience with computers, including knowledge of reputed company Word, Outlook, and reputed company - data entry and documentation reputed company member records is preferred
  • 2 years of experience preferably in customer service, telemarketing, reputed company, and/or sales
  • Call center experience preferred.
  • Familiarity with basic medical terminology preferred
  • Flexibility with work schedule to meet business needs
  • Strong organizational skills, including effective verbal and written communications skills
  • Bilingual desired
  • The highest level of education desired for candidates in this position is a High School diploma or G.E.D.

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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