Jobs
>
New York City

    Manager of Member Services - New York, United States - VillageCare

    VillageCare
    VillageCare New York, United States

    1 week ago

    Default job background
    Description
    Manager of Member Services (Hybrid)

    VillageCareMAX

    112 Charles Street, New York, NY 10014

    COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE

    Under the supervision of Director of Business Operations, Manager of Member Services will oversee the coordination of Member Services staff scheduling, training, and day-to-day work flows to ensure that all requests and inquiries are processed timely. Communicates with Director of Business Operations and AVP of Member Experience and Support Services for any issues or concerns about, but not limited to, Operations. Assist members in accessing services, resolving issues and communicating with other members of the Interdisciplinary Care Team.

    Some daily responsibilities will include:
    • Responsible for overseeing that all incoming calls are handled appropriately and in a timely manner.
    • Ensures that there is appropriate Member Service coverage on the Phone Queue at all times.
    • Ensures all shifts are covered with adequate Reps by language (Spanish, Cantonese or Mandarin).
    • Oversees all faxes are processed timely to meet compliance.
    • Facilitates meetings, coordinates the agenda, reviews and approves new workflows, maintains planning foresight and the work calendar.
    • Assists members in arranging appointments with physicians and other health care provider services.
    • Facilitates communication between members, subcontractors, providers and Care Managers.
    • Communicated effectively with members with special needs by utilization mechanisms such as: interpretation vendor, TTYTele braille, large print/ braille, talking adaptive equipment, etc. Assists members with accessing translation services.
    • Provides plan information to new members, family members or other representatives.
    • Responds to nonclinical complaints; logs member and subcontractors' complaintsgrievances. Resolves same day complaintsgrievances where possible.
    • Supervises hiring, ensuring effective training, ongoing monitoring and Quality Assurance, evaluations and any disciplinary actions of member services representatives. Responsible for assuring all new employees are trained.
    • Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
    • Oversees all work is completed in accordance with the confidentiality requirement mandated by HIPPA for member information including telephone service standards and turn-around times
    • Any other projects assigned by Operations.
    Education: Bachelor's Degree.

    Experience:
    • This position requires a minimum of 5 years job-related experience in healthcare HMO, Medicaid and Medicare experience is preferred.
    • Strong ability to solve problems independently and interact with an integrated team.
    • Strong multi-tasking abilities.
    • Excellent interpersonal, verbal and written skills.
    • Advanced Microsoft Outlook proficient in Microsoft Office such as Outlook, Word and Excel
    Bilingual in Spanish, Russian, Creole, Chinese (Cantonese/Mandarin) is preferred.

    There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you
    • PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, Additional Employee Discounts
    VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

    VillageCare is an Equal Opportunity Employer.
  • Supreme Fitness Group

    Member Services Representative

    11 hours ago

    Supreme Fitness Group New York, United States

    **Job Summary** · The **Member Services Representative **will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective members and guests. · **Essential Duties and Responsibilities** · - Gree ...

  • VIllageCare of New York

    Member Service Representative

    5 days ago

    VIllageCare of New York New York, United States

    **Member Service Representative - Russian** · VillageCareMAX · 112 Charles Street, New York, NY 10014 · COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE · VillageCare is looking for a self-motivated Member Services Representative responsible for handling all c ...

  • White Rose Credit Union

    Member Service Representative

    5 days ago

    White Rose Credit Union York, United States

    **Purpose**:The successful applicant will serve as a liaison between the member and the credit union. Responsible for providing account information by phone or in person, as well as information on the full range of credit union products and services. Open accounts for members, re ...

  • US Family Health Plan @ St. Vincent's Catholic Medical Center

    Member Services Representative

    5 days ago

    US Family Health Plan @ St. Vincent's Catholic Medical Center New York, United States

    JOB SUMMARY · The **Member Services Representative **is responsible for responding to member/provider inquiries within specified parameters. Researches and resolves issues and inquiries in a timely and efficient manner and resolves needs and issues in an empathetic and courteous ...

  • First Capital Federal Credit Union

    Member Service Representative Supervisor

    6 days ago

    First Capital Federal Credit Union York, United States

    **_Organization Description_** · First Capital Federal Credit Union is a full-service financial institution serving the needs of members throughout York County, PA, and the United States. Membership in the Credit Union is open to all employees and their families of companies with ...

  • Happier Grocery

    Preparedfoods Service Team Member

    2 days ago

    Happier Grocery New York, United States

    **Company Description** · Happier Grocery is a health-forward Grocery Store that seeks to provide a lifestyle oasis for New Yorkers. We are committed to providing the highest quality food and lifestyle experience. · Our mission is to create a buying experience where shoppers need ...

  • Municipal Credit Union

    Contact Center Member Services Representative

    4 days ago

    Municipal Credit Union New York, United States

    **About MCU**: · At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial products and conv ...

  • YMCA of Delaware

    Member Service Representative- Bear- Glasgow

    2 days ago

    YMCA of Delaware Newark, United States

    **Our Promise**: · Ensure every child is on a pathway to success · Improve individual & community wellness · Build bridges to connect our community · Demand equity for all · Support family & economic stability · **Benefits & Perks**: · 12% Employer-Funded Retirement Plan upon mee ...

  • Michaels

    Service Team Member

    5 days ago

    Michaels Brooklyn, United States Temps partiel

    Store - NYC-BROOKLYN HEIGHTS, NYQue ferez-vous? · Offrir un service à la clientèle amical, aider les clients à magasiner dans notre magasin et à trouver ce qu'ils recherchent. Veiller à ce que tous les clients bénéficient d'un passage rapide et amical aux caisses. Effectuer le d ...

  • The Baseball Center NYC

    Customer Service + Instructor Staff Member

    3 days ago

    The Baseball Center NYC New York, United States

    **Our Story** · For the last twenty years, The Baseball Center NYC's management team and coaching staff has worked diligently to create a positive environment where players of all ages and skill sets can learn to achieve success both on and off the playing field. · The Baseball C ...

  • Court 16

    Member Services Associate

    2 days ago

    Court 16 Brooklyn, United States

    **About Court 16** · Court 16 offers tennis and pickleball programming to kids and adults at our three state-of-the-art locations: City Point in Downtown Brooklyn, Long Island City in Queens, and the Financial District in lower Manhattan. We take a holistic approach to the sport, ...

  • Aunt Tina's Sound Bites LLC

    Food Service Team Member

    4 days ago

    Aunt Tina's Sound Bites LLC Elmhurst, United States

    Efficiently and effectively prepares and serve food to customers within a quick service restaurant or food truck; including customer transactions, cleaning and stocking working area, while exhibiting a friendly, enthusiastic attitude. ...

  • Tipmont Wintek

    Member Service Representative

    2 days ago

    Tipmont Wintek Linden, United States

    **Are you our next member services representative?** · Do you pride yourself on delivering exceptional experiences in which customers have been helped, heard, understood and empowered? Can you keep a calm, clear and constructive approach during a difficult conversation? Would you ...

  • Planet Fitness

    Member Services Representative

    5 days ago

    Planet Fitness South Plainfield, United States

    The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective members and guests. · **Essential Duties and Responsibilities** · - Greet members, prospective ...

  • VillageCare

    Member Service Supervisor

    10 hours ago

    VillageCare New York, United States

    Member Service Supervisor (Hybrid) · VillageCareMAX · 112 Charles Street, New York, NY 10014 · COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE · VillageCare is seeking a motivated individual for our Supervisor of Member Services position. This role will assist ...

  • Spring Place

    Member Service Agent

    11 hours ago

    Spring Place New York, United States

    Company Description · Spring Place is a private membership club and co-working space, connecting work, leisure, and culture for its community of global influencers, creative entrepreneurs, and industry leaders. · Role and Responsibilities · Greet members and guests warmly, checki ...

  • PSFCU

    Member Services Representative

    5 days ago

    PSFCU New York, United States

    Polish & Slavic Federal Credit Union is committed to supporting our employees overall wellbeing by providing valuable benefits. The credit union proudly offers a competitive benefits package, that includes: Medical, Vision and Dental Insurance, Retirement Plans, Life Insurance Pl ...

  • MJHS

    Member Services Representative

    3 days ago

    MJHS New York, United States

    Req #: · 1728 · Job ID: · 13275 · Job Location: · New York, NY · Zip Code: · 10040 · Category: · Customer Service · Agency: · Elderplan · Status: · Regular Full-Time · Office: · Remote · Salary: · $38, $48,181.92 per year · The challenges of affordable healthcare continu ...

  • Crunch Fitness

    Member Services Rep

    1 week ago

    Crunch Fitness New York, United States

    Crunch Fitness - JobID: [Guest Service / Front Desk] As a Member Services Representative at Crunch Fitness, you'll: Greet all members & guests with a smile; Check in all members and guests in accordance with company procedures; Communicate special events to members and guests; Fa ...

  • VillageCare

    Member Service Representative

    1 week ago

    VillageCare New York, United States

    Member Service Representative - Bilingual Polish (Hybrid)VillageCareMAX112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CAREVillageCare is looking for a self-motivated Member Services Representative responsible for handling all ...