Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Careadvantage Navigator - Spanish Speaking

Expired Job

Health Plan Of San Mateo South San Francisco , CA 94080

Posted 5 months ago

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time CareAdvantage Navigator to act as the primary point of contact for members of CareAdvantage D-SNP and CareAdvantage CMC, and assist members with all aspects of plan benefits.
The essential duties and responsibilities will include the following:
Provide customer service to CareAdvantage members primarily on the phone.
Answer member questions about CareAdvantage health and prescription drug benefits, eligibility, and provider network.
Make New Member Welcome Calls.
Resolve problems that members have accessing CareAdvantage-covered services, including but not limited to health care services and prescription medications.
Ensure that assigned members retain CareAdvantage enrollment by investigating and contacting members and partnering agencies.
Clearly document any member complaints, including grievances and appeals.
Follow through with proactive solutions to resolve member issues.
Prepare and submit requests for services made directly by a member to HPSM Health Services.
Prepare and submit member requests for continuity of care with non-contracted providers to Provider Services Department.
Refer members to appropriate community partner agencies depending on specific circumstances including but not limited to: Behavioral Health and Recovery Services, Aging and Adult Services, Legal Aid and/or HICAP when appropriate.
Relay pertinent health information to HPSM clinical staff to facilitate care coordination and/or receipt of medical services including prescriptions.
Participate in and professionally represent HPSM at health fairs, community partnerships, meetings, committees and coalitions as requested by the Manager or Supervisor.
Perform other duties as assigned.
Requirements Education and Experience:
Equivalent to a high school diploma or GED required.
Two (2) to three (3) years experience performing customer service preferably in a health plan environment.
Previous experience working with seniors or persons with disabilities and/ in a medically related field such as medical assisting.
Knowledge of: Health insurance programs preferred.
Customer service principles and practices.
Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.
Ability to: Demonstrate excellent oral and written communication skills with various audiences and individuals of diverse backgrounds.
Perform problem research, use analytical skills, and effectively influence positive outcomes.
Develop and maintain strong professional relationships with a diverse range of people.
Utilize a personal computer, including the range of Microsoft Office products (Word, Excel, PowerPoint, Access, and Outlook). Compensation and Benefits Starting Compensation Range:
Depends on experience.
Other: Fluency in Spanish is required for this position Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employees Medical, Dental and Vision coverage.
Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits.
Additional HPSM benefits include fully paid life, AD&D, and LTD insurance; retirement plan (HPSM contributes equivalent of 10% of annual compensation); holiday and vacation pay; tuition reimbursement plan; onsite fitness center and more.
How to Apply Application Process:
To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: or via fax: . File by:
Continuous until filled.
EOE How to Apply Application Process:
To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: or via fax: . File by:
Continuous until filled.
EOE


upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Teller Bilingual Spanish

Wells Fargo

Posted 6 days ago

VIEW JOBS 1/11/2019 12:00:00 AM 2019-04-11T00:00 Job Description Team member must be able to conduct transactions normally associated with this role in Spanish and English. At Wells Fargo, we want to satisfy our customers' financial needs and help them succeed financially. We're looking for talented people who will put our customers at the center of everything we do. Join our diverse and inclusive team where you'll feel valued and inspired to contribute your unique skills and experience. Help us build a better Wells Fargo. It all begins with outstanding talent. It all begins with you. Community Banking operates one of the most extensive banking franchises in the country, serving customers through approximately 6,000 branches and 13,000 ATMs in 39 states and the District of Columbia. Our group includes Business Strategy and Administration; Customer and Branch Experience; Customer Remediation Office; Distribution Strategy Group; Regional Banking; Regional Services; and Customer Segments, and serves mass market, affluent, and small business customers. Our focus is on delivering an exceptional experience for our customers and providing the products and services that will help them realize their financial hopes and dreams. As a teller at Wells Fargo, you will provide exceptional customer service and spend almost all of your time working with our most important asset, our customers. You will be responsible for a variety of tasks, including but not limited to: providing excellent customer service; processing account transactions effectively; maintaining a cash drawer; listening carefully to customers and escalating issues as needed; and following proper procedures to minimize risk, errors, and to reduce fraud. You will also actively engage customers in conversations and listen to get to know them. When appropriate you'll suggest ways that Wells Fargo can help, or introduce them to other branch team members to help meet their financial needs. You are expected to balance your cash drawer, build rapport and be a team player. You'll take pride in performing well and genuinely enjoy helping others, while maintaining ethics, integrity, and embracing diversity. Please note: Based on the volume of applications received, this job posting may be removed prior to the indicated close date. If you do not apply prior to the closing of this posting, we encourage you to apply for other opportunities with Wells Fargo. Important Note: During the application process, ensure your contact information (email and phone number) is up to date and upload your current resume prior to submitting your application for consideration. If you are a Wells Fargo Team Member, in your Jobs Profile ensure that your email address is valid and updated to an address that can receive external emails outside of the banking network. Initial contact with you will be made via e-mail. Please check your e-mail regularly for updates. Required Qualifications * 1+ year of customer service experience or military experience * Bilingual speaking proficiency in Spanish/English Desired Qualifications * Customer service focus with experience handling complex transactions across multiple systems * Ability to meet or exceed performance objectives, while fostering a team atmosphere * Experience working with others on a team to meet customer needs * Cash handling experience * Ability to follow policies, procedures, and regulations * Ability to identify potential fraud/risky accounts and take appropriate action to prevent loss * Well-organized, independent and able to prioritize in a fast paced environment * Ability to exercise judgment, raise questions to management, and adhere to policy guidelines * Customer service focus with experience actively listening, eliciting information, comprehending customer issues/needs, and recommending solutions * Relevant military experience including working with military protocol and instructions, enlisted evaluations, officer/leadership reporting * Relevant military experience including working in personnel benefits management, processing military personnel orders or transitions, wartime readiness operations, human resources or military recruiting * Ability to interact with integrity and professionalism with customers and team members Job Expectations * Ability to stand for extended periods of time * Ability to work weekends and holidays as needed or scheduled * Must take and pass required Spanish language assessment Disclaimer All offers for employment with Wells Fargo are contingent upon the candidate having successfully completed a criminal background check. Wells Fargo will consider qualified candidates with criminal histories in a manner consistent with the requirements of applicable local, state and Federal law, including Section 19 of the Federal Deposit Insurance Act. Relevant military experience is considered for veterans and transitioning service men and women. Wells Fargo is an Affirmative Action and Equal Opportunity Employer, Minority/Female/Disabled/Veteran/Gender Identity/Sexual Orientation. Wells Fargo South San Francisco CA

Careadvantage Navigator - Spanish Speaking

Expired Job

Health Plan Of San Mateo