Sr Health Concierge - NV
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs. Apply tot his job