CoordinatorOTCHS Memb Rltions
Posted on: 8 Mar 2021
Miami, FL
Job Description
Job Description
As an OTCHS Member Services Coordinator, you will work closely with
Member Service Manager and Supervisors to handle any member grievances
presented by a member or Health Plan. As a Member Services Coordinator you are
responsible for ensuring superior service for our members and Health Plan
partners by providing information, feedback and resolving the issue. The Member
Services Coordinator will also be held accountable to call center service level
standards as well as flawless execution of inbound/outbound calling programs
and associated performance metrics. The Member Services Coordinator will
also create and support a culture of inclusion and diversity, ensuring all
actions is in complete alignment with CVS practices, policies and values as well as state, federal and regulatory requirements.
Required Qualifications
1+ years of working experience including
strong proficiency with Microsoft Excel and Word, including knowledge of Access
and Power Point.
Preferred Qualifications
Strong customer service skills.
Experience in use of call center
technologies/applications.
Experience working in a call center environment is highly preferred.
Must be able to communicate effectively with all levels and prepare effective written documents.
Strong interpersonal and relationship building skills.
Excellent oral, written and interpersonal communication skills.
Ability to work in a structured, fast paced call center environment. Ability to work well with others.
Education
Verifiable High School diploma or GED is required.
Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Aetna
Hartford, CT
Aetna Inc. operates as a health care benefits company in the United States. It operates through three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment offers medical, pharmacy benefit management service, dental, behavioral health, and vision plans on an insured and employer-funded basis. It also provides point-of-service, preferred provider organization, health maintenance organization, and indemnity benefit plans, as well as health savings accounts and consumer-directed health plans.
In addition, this segment offers Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers’ compensation administrative services, and products that provide access to its provider networks in select geographies. The Group Insurance segment offers life insurance products, including group term life insurance, voluntary spouse and dependent term life insurance, group universal life insurance, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which provide the benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities.
The Large Case Pensions segment manages various retirement products comprising pension and annuity products primarily for tax-qualified pension plans. The company provides its products and services to employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is based in Hartford, Connecticut. As of November 28, 2018, Aetna Inc. operates as a subsidiary of CVS Pharmacy, Inc.
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IndustryInsurance
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No. of Employees47,950
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Website
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Jobs Posted12677
