Member Connections Representative I

Location: Lenexa, KS
Member Connections Representative I (Lenexa, KS)
 
Joining this team means you'll be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. The group is a fast, agile, customer-focused organization with a commitment to implementing the latest technologies.
 
Our client serves more than 55 million managed care members through their portfolio of high-quality commercial and government sponsored healthcare programs. The broad offering of programs that they provide has helped them to build both capacity and capability to successfully navigate a changing healthcare environment, while continuing to offer better health outcomes at lower costs.
 
Position Purpose:
Assist the health plan in establishing a presence in the community through home visits and community outreach.
 
Job Description:
  • Educate members on health care benefits through home visits and outreach
  • Assist members with activities related to accessing care
  • Document information and activities in applicable systems
  • Deliver Connections Plus® cell phones, teach and answer questions related to cell phone use and navigation
  • Coordinate and implement community events, including Start Smart Baby showers and Birthday Parties, school events, healthy life style events and various community initiatives
  • Schedule and complete home visits for noncompliance, benefits information, ED and readmission diversion and other high risk issues
  • Conduct targeted phone calls for compliance, HEDIS initiatives and health risk assessments
  • Follow-up with appropriate parties on status of high risk member referrals
  • Assist in finding and connecting members to community social services and agencies
  • Ability to travel throughout designated region
 
Qualifications:
Education/Experience:
  • High school diploma or equivalent experience.
  • Bilingual ability preferred.
  • 2+ years of social services, community outreach, or education experience
 
Licenses/Certifications:
  • Valid driver's license and automobile insurance.
  • Some locations may require Community Health Worker certification, CPR certification, and/or bi-lingual.
 
Our client offers options that allow you to do more than just plan for retirement. Their programs allow shared success with employees.
  • 401(k) with company match
  • Employee stock purchase plan
  • Training and Learning Opportunities/Tuition Reimbursement/Educational Assistance
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
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.
 
 
 
 
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 
https://www.indeedjobs.com/proenlist?hl=en_US
 
 
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