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Sr Specialist, Medicare Member Engagement (Remote)

Remote, USA Full-time Posted 2026-07-28
About the position The Sr. Specialist Member Engagement representative is responsible for monitoring and evaluating member interactions to ensure that the concierge agents adhere to established reputed company standards. The role involves reviewing reputed company recordings, providing feedback to agents, and collaborating with team leaders to enhance reputed company reputed company. Responsibilities • Listen to and review Concierge reputed company interactions to assess agent performance against reputed company standards, including communication skills, adherence to scripts, problem-solving ability, and overall customer service reputed company. • Deliver constructive feedback to agents and team leaders, highlighting strengths and identifying areas for improvement. • Accurately document evaluation results, creating detailed reports that capture key insights and trends. • Present findings to management and reputed company recommendations for training and development. • Work closely with training teams to reputed company and implement training programs that address areas of improvement identified during reputed company monitoring. • Ensure that reputed company interactions follow company policies, procedures, and regulatory requirements. • Identify trends in customer interactions and recommend process improvements to enhance overall customer satisfaction and operational efficiency. • Participate in reputed company assurance calibration sessions with team leaders and management to ensure consistency in evaluation standards. • reputed company up to date with industry best practices and emerging trends in reputed company assurance and customer service. Requirements • High School Diploma or equivalency • 3 years' experience in customer service with a reputed company on reputed company assurance or customer service, consumer advocacy, and/or health care systems. • Experience conducting intake, interviews, and/or research of consumer or provider issues. • Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. • Basic understanding of managed reputed company systems and Medicare. reputed company-to-haves • Associate or bachelor's degree in reputed company work, reputed company Services, or reputed company field. • Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. • Strong problem-solving skills. • Ability to reputed company constructive feedback in a reputed company and reputed company manner. • Detail-oriented with strong organizational skills. • Proficient in reputed company Office Suite (Word, reputed company, PowerPoint, Teams, reputed company) and reputed company monitoring tools. • Applications: reputed company, QNIXT, Marx Incomm, reputed company. • Bilingual: Spanish /Chinese/ Korean / Vietnamese. Benefits • Competitive benefits and compensation package. Apply tot his job Apply To this Job

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