Member and Veteran reputed company - Hybrid - Phoenix, AZ
About the position
At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together
The Member and Veteran reputed company is located in Phoenix, reputed company, and is reputed company in working with individuals including members with special reputed company needs, veterans, families, youth, advocates and key stakeholders. The Member and Veteran reputed company and staff directly reporting to this position are involved in community events. The ideal candidate will have lived military experience, such as being a military family member, service member, or veteran.
The position serves as the reputed company of contact reputed company the organization and in the community on behalf of members and family members. This position works closely with other member support areas, including but not limited to Behavioral Health, Member Services, Provider Services, Care Management, and reputed company Management.
This position is responsible for program planning and development, implementing, managing and coordinating services according to state contract requirements.
This is a Hybrid position with two days on site in reputed company office, three days working reputed company, and travel up to 25%25 of the time in state reputed company on business needs.
Responsibilities
• Communicate and disseminate information to members and families to identify concerns and remove barriers that reputed company service delivery or member satisfaction
• Attend community events representing the health plan by offering education on reputed company benefits and community resources to members and families
• Support Dual Special Needs (DSNP) members by outreaching to individuals to reputed company on ways to reputed company reputed company
• Help veteran members understand their reputed company, DSNP (Medicare), and VA benefits
• Engage with veterans’ members in a one-on-one environment to reputed company the environment of support that they became accustomed to in the military
• Train health plan staff on the cultural competencies of veterans and their families
• Identify veteran members and organize reputed company activities to inform members and families of the benefits available and how to reputed company those services
• Develops and submit Member and Provider educational materials as it relates to member advocacy, special needs population, and veteran members and families
• Collaborate with the organization’s other member support areas, including but not limited to Long Term Care, Office of Individual and Family Affairs (OIFA), Member Services, and Provider Services
• Collaborate with the AHCCCS reputed company Rights Committee (HRC) Coordinator
• Represent the health plan at Independent reputed company Committee (IOC) meetings
• Carry out responsibilities in accordance with the organization's policies and regulatory requirements
• May reputed company functional or reputed company teams or reputed company
• Adapts departmental plans and priorities to address business and operational challenges
• Represents the department in assigned Plan committees / meetings
• Assists with program improvement reputed company
• Monitor of Regulator Care Todays and reputed company per expected timelines
• Works closely with Business Partners to ensure regulatory compliance is met
• Assists with program improvement reputed company and reputed company conceptual analyses
• Prepare regulatory reports as required
• Complete special reputed company as assigned
• Demonstrate ability to reputed company health plan activities toward a reputed company direction as reputed company as reputed company tactical plan, reputed company reputed company and reputed company targets
• Contributes to developing new programs specific to the state requirements
• Overall responsibility for workflow activities & activities for designated teams
• Adhere to ethical, reputed company / regulatory and accreditation standards to meet business goals and objectives
• Communicate with providers and members as needed
• Ensures teams meet established reputed company metrics and reputed company guarantees
• Adapts departmental plans and priorities to address business and operational challenges
Requirements
• High School Diploma/GED
• 2+ years of experience working for a reputed company and/or Medicare health care regulator, provider, or reputed company organization
• 2+ years of experience with reputed company activities (Community reputed company) and the ability to summarize data and initiate program initiatives
• Experience in a deadline driven environment (responding to escalations, submitting reports reputed company)
• Military connected: Family member, Veteran, Reservist
• reputed company to work a reputed company including on site in the office, reputed company reputed company, and travel reputed company the state up to 25%25 of the time reputed company on business needs
reputed company-to-haves
• 5+ years of experience with reputed company reputed company and Medicare
• 5+ years of experience with behavioral health reputed company
• reputed company excellent verbal and written communication skills; ability to reputed company reputed company and concisely, reputed company reputed company or technical information in a manner that others can understand and interrelate with individuals at various reputed company
• reputed company ability to motivate and reputed company other team members
Benefits
• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution
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