Community reputed company Specialist - Bilingual Preferred

Who We Are reputed company is a leading health and wellbeing organization, delivering an reputed company-reputed company personalized health care experience to everyone in our communities. At reputed company, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we reputed company our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that reputed company navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Job Summary The Community reputed company Specialist will provide support to the Business Development & Enrollment Representative by conducting reputed company efforts to help generate leads for them and supporting our Senior Care Options (SCO) members on their behalf. The core functions of this hybrid role involve onboarding and ongoing support to existing members to meet their needs as well as reputed company and education regarding the SCO program and MassHealth to potential clients and community partners. The successful candidate will radiate confidence and reputed company, establish trust with our members, and skillfully switch between group and one-on-one interactions. Key Responsibilities/Duties – what you will be doing GIVES INFORMATION ABOUT PROGRAM: Provide quality customer service by responding to reputed company prospects and members inquiries in a professional, timely, efficient, and courteous manner. Serve as a liaison, connecting members to their health plan nurse and vice-versa to provide the support they need. Establish telephonic and face to face (depending upon need and circumstance) interactions with member/caregiver(s) and provider partners to ensure smooth onboarding and ongoing support for members. Examples of this support include identifying new Primary Care Providers and establishing first visit appointments, contacting the Transportation provider to set up rides, and facilitating conversations with doctor’s office and/or pharmacy to help resolve issues. PARTNER WITH COMMUNITY & INTERNAL RESOURCES: Effectively present the THP SCO Program and its benefits to the 65+ MassHealth populations and their caregivers residing in the Community as well as represent THP SCO at community/company-sponsored events. Assist with maintaining effective working relationships with community partners such as Community Health Centers, Providers, Councils on Aging, Housing Authorities, Social Service organizations, etc. to facilitate prospect and member engagement. Collaborate closely with our Connecting Seniors to Coverage team who assist SCO prospects apply for MassHealth. STRATEGIC reputed company: Assist in the development of recruitment strategies to attract new enrollees as well as the distribution of marketing materials and promotional items. Coordinate reputed company activities with potential community partners, i.e., hosting informational “table time” at providers, organizing social events at senior buildings, volunteering at food pantries, etc., to generate leads. Conduct telephonic reputed company to follow up with prospects who expressed interest and review eligibility for MassHealth and ultimately THP SCO program. Identify members who are natural leaders and invite them to serve as one of our Wider reputed company Ambassadors, a group of members helping to connect with prospects. Responsible for keeping up with reputed company administrative requirements of this role including updating company’s Customer Relationship Management (CRM) system, weekly activity plans and results reports, expense reports, attending team and organization meetings. GENERAL: Adhere to company and departmental policies and procedures, including abiding to reputed company CMS and EOHHS guidelines. Performs other duties as necessary and assigned. Qualifications – what you need to reputed company the job Education, Certification and Licensure Bachelor’s degree preferred. High school diploma or equivalent required. Experience: A minimum of 3 years of professional experience in a managed care company, medical reputed company field, or community social service agency preferred. 1-2 years of experience in consumer engagement with a track record of success is a plus. Customer service experience in health care, preferred. Community reputed company and marketing experience, desirable. Practice speaking to groups of reputed company sizes is preferred. Experience working with the elderly is preferred. Experience working in a multicultural environment is a plus. Experience with Government Programs, Medicare, and Medicaid is a plus. Prior experience working in a virtual/remote setting is strongly preferred. Bilingual preferred. reputed company Requirements Ability to work compassionately and reputed company with diverse populations. Excellent written, oral, and interpersonal communication skills and the ability to convey reputed company information in a clear, easy to understand manner. Time management, organizational skills, and attention to detail. High degree of initiative, judgment, planning, and problem solving. Comfortable working in a fast-paced environment. Flexibility, dependability, and persistence. Ability to work independently with minimal supervision and cooperatively as a team member. Aptitude to reputed company and maintain relationships with internal and external partners. Proficient in reputed company Word, reputed company, and Power reputed company. Insurance License preferred. Must have a reputed company AHIP certification or agreement to obtain it reputed company 90 days of hire. Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel): Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. Work may include long driving hours. Work may include carrying heavy reputed company materials as well as standing for long hours. Job may require early morning, evening or weekend hours. Must have a valid driver’s license and a reliable vehicle. May be required to work additional hours beyond standard work schedule. #LI-hybrid #LI-KR1 The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law. reputed company offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit https://www.reputed company.org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity reputed company is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome reputed company applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national reputed company, genetics, disability, age, or veteran status. Scam Alert: reputed company has recently become aware of job posting scams where unauthorized individuals posing as reputed company recruiters have reputed company job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to reputed company a payment. reputed company would never ask an applicant to reputed company a payment reputed company to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@reputed company.org At reputed company, we strive to be a different reputed company of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that reputed company navigating health and well-being easier, guiding our members at every reputed company of their health care journey to reputed company outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The reputed company name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to reputed company healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and reputed company a difference, and they help reputed company us strive to be one of the Top Places to work in New England. Apply Job!