Retention Specialist Temporary

Job Number:2430

Position Title:Retention Specialist

External Description:

Position Summary:

Alignment Healthcare is seeking an enthusiastic representative who will be responsible for retaining existing members within company health plan(s). The ideal candidate must be friendly professional and genuinely interested in the needs of our members to proactively address various customer related needs.

Essential Duties and Responsibilities:

Essential duties and responsibilities of the Retention Specialist include but are not limited to:

• Responsible for meeting and exceeding monthly goals for retention of enrolled members
• Handle inbound telephone inquiries on a variety of customer servicerelated topics
• Conduct outbound calls including Disenrollment Surveys Satisfaction Surveys and courtesy and notification calls in support of various campaigns and customer servicerelated topics
• Represent the health plan and provide support at member events
• Excel in customer service and contribute to a culture of going above and beyond to ensure the highest level of member satisfaction
• Must be a team player which includes sharing best practices and participating in team meetings or trainings as required
• Submit daily/monthly activity reports and complete call documentation as required
• Ensure that information and assistance provided is within the standards established by all applicable federal/state laws and regulations and health plan compliance
• Complete trainings and exhibit understanding of new updates related to the company health plan benefit packages and Centers for Medicare and Medicaid Services (CMS)
• Support other projects and duties as assigned by Management

Supervisory Responsibilities

This job has no supervisory responsibilities.

Minimum Requirements

1. Strong knowledge and understanding of the Medicare Managed Care Manual Chapter 2 Medicare Advantage Enrollment and Disenrollment and Medicare Communications and Marketing Guidelines
2. Medicare health plan knowledge/experience in: Sales or Customer Service or Membership/Eligibility

Qualifications

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Education and/or Experience: High school diploma or general education degree (GED); two to three years related experience and/or training; or equivalent combination of education and experience.
2. Certificates Licenses Registrations: None required Sales License preferred
3. Other Qualifications preferred but not required:

• Bilingual: Spanish or Vietnamese Chinese (Mandarin or Cantonese) Korean
• Flexibility with schedule depending on needs
• Selfstarter who is a team player and extremely organized
• Ability to learn plans and describe / explain / educate
• Excellent communicator and presentation skills

Skills and Abilities:

1. Language Skills: Ability to read and interpret documents such as safety rules operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
2. Mathematical Skills: Ability to add and subtract twodigit numbers and to multiply and divide with 10s and 100s. Ability to perform these operations using units of American money and weight measurement volume and distance.
3. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
4. Computer Skills: Strong computer skills.
5. Other Skills and Abilities:

* Computer literate typing 40 words per minute.

* Excellent communication skills oral and written.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job the employee is regularly required to talk or hear. The employee regularly is required to stand walk sit use hand to finger handle or feel objects tools or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City:Orange

State:California

Location City:Orange

Schedule:Full Time

Location State:California

Community / Marketing Title:Retention Specialist (Temporary)

Company Profile:

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models deep physician partnerships and use of proprietary technologies Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fastgrowing company you will find ample room for growth and innovation alongside the Alignment community.

EEO Employer Verbiage:

On August 17 2021 Alignment implemented a policy requiring all new hires to receive the COVID19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignments ongoing efforts to ensure the safety and wellbeing of our staff and community and to support public health efforts. Alignment Healthcare LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application interviewing completing any preemployment testing or otherwise participating in the employee selection process please contact