Alignment Healthcare USA, LLC

Alignment Healthcare USA, LLC

Remote Quality Retention Specialist (

Davidson , NC

Sponsorship not specified$39k-$58kDetected 12 days ago
Outbound SalesProcess ImprovementRecruitingCustomer SupportLeadershipCommunicationCollaborationProblem SolvingTime Management

About the role

  • Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
  • We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
  • Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.

Responsibilities

  • Provides outbound support for PCP/IPA terminations.
  • Supports other projects and duties as assigned.
  • The Quality Retention Specialist supports our members in their disenrollment requests and related quality assurance.

Requirements

  • 1+ year experience with Medi-Cal, Commercial, and Medicare Managed Care Plans and/or Sales, Customer Service, or Membership and Eligibility.
  • Ability to communicate positively, professionally and effectively with others
  • Shares best practices and participating in team meetings or training as required.
  • Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications as required
  • 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.

Nice to have

  • Bilingual in one of the following Spanish, Vietnamese, Mandarin, Cantonese, or Korean

Skills

  • Ability to write routine reports and correspondence.
  • Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's.
  • Ability to apply common sense understanding to carry out detailed, but un-involved written or oral instructions.
  • Ability to deal with problems involving a few concrete variables in standardized situations.
  • Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
  • Required:
  • Ability to troubleshoot/problem solve.
  • Language
  • Mathematical
  • Reasoning
  • Problem-Solving
  • Preferred: Bilingual in one of the following Spanish, Vietnamese, Mandarin, Cantonese, or Korean

Compensation

  • $38,569.00 - $57,853.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Benefits

  • In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
  • Sales License or completion of Alignment Health Plan sales certification a plus.
  • Specific vision abilities required by this job include close vision and the ability to adjust focus.

Company info

  • It takes an entire team of passionate and caring people, united in our mission to put the senior first.

This listing is sourced directly from Alignment Healthcare USA, LLC's careers page and normalized into a canonical job model.