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Member Services Specialist
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Full-time
- Drives customer loyalty and provides excellent telephonic customer service to our customers (members and providers).
- Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS and DMHC.
- Coordinating swift and seamless urgent care access, interpreter services, and transportation arrangements
- Engaging with community-based programs to effectively address members' non-medical and social needs
- Adhering diligently to state and local guidelines, particularly in collaboration with State and local IPA's (CSSD and CCS)
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