Medicaid Member Advocate & Resolution Specialist
Molina Healthcare of Illinois
A healthcare organization in New York is seeking a Member Advocate to support member rights and resolve grievances. This role involves investigating member issues, ensuring rights are upheld, and advocating for quality improvement in healthcare services. The ideal candidate has experience in managed care, excellent customer service skills, and knowledge of Medicaid policies. This position offers a competitive salary and benefits package, promoting a commitment to member satisfaction and healthcare quality. #J-18808-Ljbffr
$21 - $25 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Member Resolutions Specialist Full Time Clerical Cooper City, FL, US 7 days ago Requisition ID: 1181 Salary Range: $21.00 To $25.00 Hourly As a...SuggestedHourly payFull time$19.18 - $23.99 per hour
...solutions and inspired service.**The Opportunity:**The **Settlement Resolution Specialist** provides senior level guidance and subject matter... ...originating from Financial Institutions, internal units or members.* Utilizes advanced professional communication skills (written...SuggestedLocal areaFlexible hours$14.9 - $29.06 per hour
...continuous quality improvements regarding member engagement and member retention.... ...Grievances, Member Problem Research and Resolution, and the development/maintenance of Member... ...or complaints individually. Serves as an advocate in working with providers, regulatory agencies...SuggestedHourly payWork experience placement$20 - $25 per hour
...delivering exceptional customer satisfaction. We’re seeking a Resolution Support Specialist to join our team. An opportunity to be part of a fast-... ...Communication: Communicate effectively with customers and team members, ensuring that all parties are informed and aligned...SuggestedHourly payWorldwide- ...Location: Sunrise, FL Job Id: 1403-2678 # of Openings: 10 Resolution/Escalations Specialist – ON SITE Exciting opportunities now available for... ...independently and enjoy high degree of interaction with team members. Ability to contribute to a collaborative environment by...SuggestedWork at office
$19.18 - $23.99 per hour
...Job Summary Settlement Resolution Specialist provides senior-level guidance and subject matter expertise on escalated settlement inquiries from... ...best practices, providing training to less experienced team members. Conduct outbound calls to members and financial...Hourly payLocal areaRemote workFlexible hours- ...Suncoast Credit Foundation in the Town of Florida, NY, is seeking a Branch Customer Representative (Member Advocate) to enhance member experiences. This position entails conducting a variety of teller transactions and providing exceptional customer service while upholding...
- Achieva Credit Union in New York is seeking a Debt Resolution Advisor. This role involves overseeing the collection program, communicating with members regarding delinquent accounts, and maintaining positive relations while ensuring compliance with regulations. The ideal...
- As a member of BrightStar Credit Union, you'll join a dynamic company culture and purpose... ...transactions. As a Member Relationship Specialist, you will introduce members to... ...the organization for first-level conflict resolution and building relationships. Discussions...Weekend work
- Publix Employee Federal Credit Union is looking for a Member Advocate (Universal Banker) to join their team in Sarasota, Florida. This role focuses on understanding member needs and offering appropriate products and services, including account management and loan assistance...
- ...Collaboration, Service, Inclusion and Ownership) every day, creating an environment where all associates can add value and feel valued. Member Advocate (Universal Banker) The essential purpose of this position is to uncover member needs through effective conversation and offer...Work at office
$14.9 - $29.06 per hour
...Molina Healthcare in California is seeking a dedicated member engagement advocate responsible for ensuring member issues are addressed effectively. The role includes assisting members with complaints and appeals, maintaining confidentiality, and conducting focus groups...Hourly pay- ...Velera Solutions, LLC is seeking a Settlement Resolution Specialist in New York to provide senior-level guidance on escalated settlement inquiries from financial institutions. This role involves researching and resolving settlement errors while collaborating with internal...Remote work
- YouFit is seeking a Member Service Specialist (MSS) for their gym in Hollywood, Florida. In this part-time position, you will provide outstanding customer service to members and guests, managing check-ins, handling inquiries, and supporting gym retention efforts. The ideal...Part timeFlexible hours
- A community-focused credit union is seeking a Member Relationship Specialist in the Town of Florida, NY. You will provide superior financial services and build relationships with members to help them achieve their goals. Successful candidates will have strong communication...
- The State of Florida is looking for a Senior Human Services Program Specialist to assist in managing the Medicaid Program. This role involves answering recipient and provider calls, helping with enrollment in managed care plans, and handling complaints as a Choice Counselor...
$37.04k
...Families Working Title: ELIGIBILITY SPECIALIST II - 60068922 Florida Department of Children... ...training and/or mentoring to unit members. The ESS II is expected to handle a... ..., alerts, ad‑hoc reports, and Medicaid file resolution. Identifies cases of possible fraud and...Work at officeLocal areaMonday to FridayFlexible hours- A regional financial institution in Florida is seeking a Member Service Representative to assist members with their financial services needs. The ideal candidate will have 1-3 years of experience and strong attention to detail. Responsibilities include processing loan...
- The Florida Department of Financial Services is hiring a Senior Human Services Program Specialist in New York. You'll assist in managing the Florida Medicaid Program, engaging with recipients and providers to address their needs, ensuring accurate documentation and providing...
- YouFit Gyms in the Town of Florida is hiring for a Member Service Specialist who will create outstanding experiences for members and guests. The role requires strong customer service skills, multitasking ability, and the capability to manage check-ins and billing processes...
- ...Partners is looking for a Patient Interviewer to assist uninsured and under‑insured patients in determining their eligibility for state Medicaid benefits at Jupiter Medical Center in Florida. Your role will involve communication with patients regarding their application...
- Alabama Credit Union seeks a Member Experience Representative at its Perdido Key Branch in Florida. In this frontline role, you'll engage with members by opening accounts, assisting with financial transactions, and providing outstanding service. Ideal candidates should...
- ...seeking a dedicated professional to manage complaint and appeal scenarios in the Town of Florida, New York. You will ensure timely resolutions while identifying trends and recommending solutions, with a strong focus on customer service. The ideal candidate will have at...
- A community-focused financial institution in New York is seeking a Member Relationship Specialist to assist members in achieving their financial goals through exceptional service. This role involves processing transactions, building member relationships, and meeting sales...
- ...Partners Federal Credit Union is seeking a Member Experience Professional I in the Town of Florida, NY. This role will be responsible for providing excellent service to members, processing transactions, and fostering long-term relationships by understanding financial...
- ...Florida, NY. This role focuses on the development and configuration of Quantexa modules crucial for both batch and real-time entity resolutions. Candidates should possess strong skills in Scala, GCP, ETL, and must be Quantexa certified. This contract position is ideal for...Contract work
- ...and senior partners to ensure exceptional legal services to clients. The ideal candidate holds a Juris Doctor degree, is an active member of the Florida Bar, and possesses strong communication and negotiation skills. #J-18808-Ljbffr THOMAS AND THOMAS ATTORNEYS AT LAW,...
$20 per hour
## Custodial Specialist IIIApplylocations: UCF HSC at Lake Nonatime type: Full timeposted on... ...areas.The role works closely with team members to ensure established standards for cleanliness... ...requests, assisting with problem resolution, and ensuring work is completed efficiently...H1bWork at officeLocal areaMonday to FridayFlexible hoursShift work$16 per hour
...Growth! Westgate Resorts is hiring Vacation Specialists to join our fast‑paced VOA Customer... ..., travel protection, and account resolution while delivering a positive, professional... ...internal systems Collaborate with team members and assist with additional duties as needed...Daily paidLocal areaRemote workMonday to FridayFlexible hoursShift workAfternoon shift$18.04 - $35.17 per hour
...goals improving Molina’s enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the... ...percentage for Molina. Works closely with other team members and management to develop/maintain/deepen relationships with key...Hourly payWork experience placement
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