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Member Services Representative | Central Coast Alliance for Health | Merced, CA
The Alliance is a regional non-profit Medi-Cal health plan expanding to serve Medi-Cal beneficiaries in Merced County starting October 2009. The Alliance is opening an office in the city of Merced and plans to recruit approximately 50 staff over the next 7 months.
Since 1996, the Alliance has improved access and quality of care for more than 112,000 members through local innovation and partnership.
The Alliance values its culture of diversity, and operates with a management team that cares about and values its employees. Our philosophy of building long term quality relationships with our customers applies both externally and internally. We work continuously on creating an environment that makes us an employer of choice.
Job Summary
This position is responsible for representing Central Coast Alliance For Health in main and/or field offices, as the first line of contact for members; assists Medi-Cal beneficiaries in understanding and utilizing the Alliance program; assists members in selecting a Primary Care Physician; receives, documents and resolves members’ concerns and complaints; assists members in utilizing grievance process; performs outreach to members, providers and community agencies in support of the Alliance’s mission. Positions available for bilingual English/Spanish, bilingual English/Hmong and English only.
Education & Experience, Knowledge & Abilities
- Minimum AA Degree; and, two (2) years’ experience in Health Care, Public Assistance or Human Services programs; or, three (3) years’ experience in Member Services or customer service; or, equivalent combination of education and experience;
- Experience with Managed Health Care and Management Information Systems preferred.
Benefits include:
- Aetna HMO or PPO
- Delta Dental Premier Plan
- Vision Service Plan
- Domestic Partner Benefits
- Twenty-Three Days PTO annually
- Eleven Paid Holidays
- 401(a) Retirement Plan - Employer contributes 10%
- CalPers 457 Deferred Compensation Retirement Plan
- Roth IRA
- Costco Membership (paid annually for employee and spouse/domestic partner)
- Medical Expense Reimbursement Plan & Dependent Care Plan
- Health & Wellness Program – up to $460 gym membership reimbursed annually
- Tuition Reimbursement - $1,000 annually
- Annual Flu Shot
- PTO Sellback Plan
- PTO Donation Program
- Employee Assistance Program
- Recruitment Incentive Program
- Long Term Disability
- Two Life Insurance and AD&D plans
- Prepaid Legal Services
For more information on the above position and how to apply, please visit: http://www.ccah-alliance.org/careers.html. No phone calls please.
The Alliance will be recruiting for additional positions in the coming months, and further notices will be made available at the above site.
The Alliance is an equal opportunity employer.
Creating Healthcare Solutions
Learn more about the Alliance at:
http://www.ccah-alliance.org
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