Member Services Representative

Central California Alliance for Health; California; Hybrid; USD 60,000 - 80,000; Full time

Job summary

Central California Alliance for Health seeks a Member Services Representative. In this role, you'll provide crucial customer service, assist with members' needs, and be a key resource in understanding healthcare benefits. Ideal candidates are bilingual in Spanish/English and have customer service experience.

Benefits

Medical, Dental and Vision Plans

Ample Paid Time Off

12 Paid Holidays per year

401(a) Retirement Plan

401(k) Plan

Robust Health and Wellness Program

Onsite EV Charging Stations

Qualifications

• At least 2 years customer service experience preferred.
• Ability to communicate complex healthcare processes simply.
• Demonstrate strong attention to detail.

Responsibilities

• Act as the frontline customer service representative.
• Facilitate non-medical transportation benefits for members.

Skills

Bilingual Spanish/English

Customer service principles

Conflict resolution techniques

Organizational skills

Education

High school diploma or equivalent

Tools

Windows-based PC systems

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

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This opportunity is available to current Temporary Member Services Representatives on assignment at the Alliance.

Accepting applications through Thursday, June 19, 2025 by 5:00pm.

We have an opportunity to join the Alliance as a Member Services Representative in the Member Services Department.

What You'll Be Responsible For

Reporting to the Member Services Supervisor, this position:

• Act as the frontline customer service representative within the Member Services Department, providing assistance to members and providers
• Facilitate and coordinate non-medical transportation benefits for members
  
  

About The Team

Our Member Services teams work together to empower members to understand Alliance services and provide resources that meet medical, cultural, and social needs to improve member health and well-being. We are the voice of the Alliance. We view our members' healthcare from their perspective and provide direct support by sharing benefit information and helping break down barriers to care. When a member calls, we're the ones who pick up the phone. We provide information that educates and empowers our members to be advocates for themselves and their health care. And we do it with heart!

What You'll Need To Be Successful

To read the full position description, and list of requirements click here.

• Knowledge of:
• Required: Bilingual Spanish/English
• Principles and practices of customer service
• Windows-based PC systems and Microsoft Word, Outlook and Excel and database systems
• Conflict resolution techniques
• Ability to:
• Answer telephone calls promptly and minimize delays that may lead to missed calls
• Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management
• Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers
• Utilize a variety of computer systems, including the Alliance systems and external web sites and databases
• Demonstrate strong organizational skills and attention to detail
• Education and Experience:
• High school diploma or equivalent
• Minimum of two years of customer service experience in member services, health care, public assistance or human services or in a customer service or call center environment (an Associate's degree may substitute for one year of the required experience); or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
  

Other Information

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
  
  

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Zone 1 (Monterey, San Benito and Santa Cruz)

$22.37—$35.80 USD

Our Benefits

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
  
  

About Us

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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