Community Resource Center Representative, Intermediate (Bilingual Spanish) - Metro L.A.

Job Description Location: Metro L.A. Community Resource Center – 1233 S Western Ave, Los Angeles, CA 90006. Work 5 days per week. Responsibilities Resolve issues and inquiries concerning member eligibility, benefits, provider information, clinical, pharmacy and other health or social service needs. Compose routine and non‑routine correspondence to answer benefits/provider inquiries in writing. Coordinate membership changes such as member’s primary care physician. Participate in quality and efficiency workgroups to continuously improve member/customer satisfaction. Analyze available programs, determine program eligibility, and connect members to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists. Conduct outreach calls and activities to inform members about the Community Resource Centers, access health plan benefits, and assist with scheduling appointments. Verify that the member is included in or targeted for outreach or care‑gap programs and connect them to services when appropriate. Assist with organizing and hosting quality events and participating in on‑site/off‑site Community Resource Center activities. Qualifications At least 3 years of professional experience. Broad knowledge of operational systems and practices typically gained through extensive experience and/or education. Bilingual in Spanish, demonstrated by successful completion of an oral language proficiency test. At least 6 months of experience with Medi‑Cal enrollment guidelines, specifically the renewal/redetermination process. Customer‑service background. Positive attitude, flexibility, professionalism, and dependability in all workplace activities. Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. #J-18808-Ljbffr Blue Shield of California