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Supervisor, Member Connections

Charlotte, North Carolina Apply Now Job ID 1160387 Category Leadership Organization Carolina Complete Health Schedule Full-time
Description:

Position Purpose: Supervise the day to day Member Connections functions, investigate and resolve complex member or provider issues

  • Ensure timely and quality care to members regarding health benefit questions and issues
  • Audit and analyze team workflows and results and recommend improvements to management
  • Review, investigate and resolve issues from internal and external customers
  • Maintain inventory of member materials for events and home visits
  • Identifying high risk members and collaborate with case management to strategize outreach to these high utilizers
  • Shadow new Member Connections Representatives on home visits and audit results to ensure accuracy and adherence to standards
  • Attend various Member Connections related calls and clinical rounds
  • Conduct home visits and assist in organizing and staffing member events

  • Qualifications:


    Education/Experience: Associate’s degree in related field or equivalent experience. Bilingual ability preferred. 3+ years of member services, social services, or community outreach experience. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

    License/Certification: Valid driver’s license and proof of insurance.

    For Fidelis Care only: NYS driver’s license and proof of insurance preferred but not required.


    For Carolina Complete Health only: Must reside in North Carolina. Valid driver's license and proof of insurance.



    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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