Metroplus Health Plan - New York, NY
posted about 1 month ago
The Customer Success Specialist (Bilingual Spanish) at MetroPlusHealth plays a crucial role in supporting members throughout their healthcare journey. This position is designed for individuals who are passionate about providing exceptional customer service and are committed to enhancing the member experience. The Specialist will act as a liaison between members and various departments within the organization, ensuring that processes are effectively implemented to improve member satisfaction and retention. The role requires a deep understanding of the New York State of Health (NYSOH) processes and the ability to navigate the complexities of healthcare services offered by MetroPlusHealth. In this position, the Specialist will be responsible for overseeing the recertification and renewal of memberships across various lines of business, including Medicaid, Medicare, and Child Health Plus. This involves assisting members with the completion of recertification applications and ensuring that the process is as seamless as possible. The Specialist will also engage in proactive outreach to members, particularly those who need to recertify, and will work to meet and exceed departmental targets for member retention. Additionally, the Specialist will assist members with enrollment activities, including changing lines of business and selecting primary care providers. They will provide end-to-end support to ensure customer satisfaction and will communicate effectively with both internal and external stakeholders to resolve any issues that arise. The role also includes identifying trends in member dissatisfaction and contributing to process improvement initiatives within the organization. Overall, the Customer Success Specialist is a vital part of the MetroPlusHealth team, dedicated to empowering New Yorkers by providing high-quality healthcare services and fostering strong relationships with members.