Employer Industry: Healthcare Services

Why consider this job opportunity:
- Fully remote position, offering flexibility in your work environment
- Opportunity for career advancement and growth within the organization
- Work for a reputable health plan dedicated to improving community health
- Engage with diverse communities and make a positive impact on member health
- Supportive and collaborative work environment focused on employee development

What to Expect (Job Responsibilities):
- Educate and network with individuals from diverse backgrounds about health plan products and programs
- Track and analyze HEDIS and Medicare Star rates to improve quality and member retention
- Establish and maintain relationships to promote healthy lifestyles among members
- Foster the health plan's presence in the community through member and provider interactions
- Support the Customer Service department's Medicare Stars Program initiatives

What is Required (Qualifications):
- High School Diploma or equivalent educational certification
- Two (2) years' experience in a customer service-related position
- Exceptional communication skills for effective member and provider interactions
- Ability to work independently in a remote environment
- Strong organizational skills to manage outreach efforts and track outcomes

How to Stand Out (Preferred Qualifications):
- Associate degree in health care administration, communication, marketing, or a related field
- One year of experience in a community-focused outreach position
- NCQA experience specific to HEDIS measurement
- In-depth understanding of claims administration and related codes

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