Manager, Member Connections

Centene

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Job Details

Location: Charlotte, Mecklenburg County, North Carolina, USA Posted: Nov 10, 2019

Job Description

Position Purpose: Manage the Member Connections functions, investigate and resolve complex member or provider issues.

Ensure timely and quality care to members regarding health benefit questions and issues

Develop, implement and maintain production and quality standards for the Member Connections program

Identifying high risk members and collaborate with case management to strategize outreach to these high utilizers

Oversee the processes and auditing of the ConnectionsPlus(r) program

Shadow new Member Connection Representatives on home visits and audit results to ensure accuracy and adherence to standards

Assist in training of Member Connections staff across Centene Health Plans

Collaborate with Marketing/Communications and Compliance on outreach strategies

Collaborate with Quality Improvement and Case Management on member initiatives and rounds

About Centene

Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.

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