Mgr, Member Engagement-medicare-ny City-field - New York, United States - Molina Healthcare

Molina Healthcare

Verified Company

New York, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary

Responsible for continuous quality improvements regarding member engagement and member retention.

Represents Member issues in areas involving member impact and engagement including:
Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials.

KNOWLEDGE/SKILLS/ABILITIES

Under general direction, identifies and initiates continuous quality improvements regarding member engagement and member retention.

Manages and develops a team focused on meeting or exceeding established performance targets. Targets may be based upon plans, federal or state requirements as dictated.

Proactively plans for daily priorities as well as responds to new priorities within the organization and opportunities assigned from upper management.

Collaborates with operational areas involving member impact and engagement including: Appeals and Grievances, Member Inquiry Research and Resolution, and development/maintenance of Health Plan and, specifically, Member Materials.

May serve as liaison from Health Plan to the Contact Center and Enrollment/Membership Accounting in the absence of director.

May serve as liaison from Health Plan to Medicare Appeals and Grievances and Medicare/MMP Member Materials in absence of the director.

Represents Member issues on the Plan's Senior Leadership Team.

Medicare experience

JOB QUALIFICATIONS
Required Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Education

Graduate degree or equivalent combination of education and experience

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

PJHPO
LI-AC1

Pay Range:
$59, $129,589.63 / ANNUAL