Job Title: Member Services Specialist

Job Description

The Member Services Specialist is responsible for answering incoming inquiries from health plan members, employers, providers, and health plans. This role involves assessing the purpose of each inquiry and providing appropriate information to meet the needs of the caller.

ResponsibilitiesHandle inquiries from members, employers, providers, and health plan coordinators.Assess patient needs and provide assistance or route them to the appropriate department or party.Project a professional and helpful demeanor to all patients.Remain calm when handling difficult or upset patients.Consistently provide accurate and thorough information to patients.Use available resources to research and resolve moderately complex issues.Essential SkillsCare managementManaged careHealthcare industryHealth administrationTroubleshootingMedical terminologyCase managementHealth careCustomer serviceData entryAdditional Skills & QualificationsOne or more years working in a health care or related business environment performing general office duties.Experience working in a managed care environment preferred.High school diploma or GED required.Successful completion of a vocational/technical/business program in a related field of study, such as Medical Assistant or Medical Office Assistant, may be considered in lieu of work experience.Work Environment

Monday to Friday, 8am to 5pm (1 hour lunch). Remote work is available if necessary, with approval from the director and only if the queue is high. Early morning start times may be required.

For immediate consideration, email your updated resume to ryreyes@ actalentservices.com along with a couple of reasons why you're a strong fit for the role.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.