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Manager, Member Connections

Charlotte, North Carolina Apply Now Job ID 1164361 Category Leadership Organization Carolina Complete Health Schedule Full-time
Description:

Position Purpose: Manage the Member Connections functions, investigate and resolve complex member or provider issues.

  • Ensure timely and quality care to members regarding health benefit questions and issues
  • Develop, implement and maintain production and quality standards for the Member Connections program
  • Identifying high risk members and collaborate with case management to strategize outreach to these high utilizers
  • Oversee the processes and auditing of the ConnectionsPlus(r) program
  • Shadow new Member Connection Representatives on home visits and audit results to ensure accuracy and adherence to standards
  • Assist in training of Member Connections staff across Centene Health Plans
  • Collaborate with Marketing/Communications and Compliance on outreach strategies
  • Collaborate with Quality Improvement and Case Management on member initiatives and rounds

  • Qualifications:

    Education/Experience: Bachelor’s degree in related field or equivalent experience. Bilingual ability preferred. 4+ years of member services, social services, community outreach, or education experience. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

    License/Certification: Valid driver's license and automobile insurance.


    For North Carolina Only:

    Must reside in North Carolina




    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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