Client Services Specialist

Convey Health Solutions, Inc.

Fort Lauderdale, FL

JOB DETAILS
SKILLS
Billing, Business Development, Centers for Medicare and Medicaid Services (CMS), Change Requests/Orders, Communication Skills, Cost Control, Cross-Functional, Customer Escalations, Customer Experience, Customer Relations, Customer Support/Service, Detail Oriented, Documentation, Health Plan, Healthcare, Interpersonal Skills, Managed Care, Marketing, Medicare, Onboarding, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Project Management Certification, Regulatory Compliance, Regulatory Requirements, Reporting Skills, Resolve Customer Issues, Risk, Standard Operating Procedures (SOP), Team Player, Time Management, Writing Skills
LOCATION
Fort Lauderdale, FL
POSTED
25 days ago

Job Title: Client Services Specialist


 


Position Summary: 


The Client Services Specialist is responsible for multiple aspects of the department, including business development, marketing, implementation efforts, and client services. The Client Services Specialist will work cross-functionally to coordinate client service activities with a focus on delivering the ultimate client experience.


 


Key Duties and Responsibilities



  • Serve as a secondary point of contact for client(s) (business segment(s) and client(s) as assigned)

  • Assist in the identification, definition, and management of client onboarding and implementation activities

  • Assist in investigating and responding to client inquiries with timely and accurate delivery of resolutions and responses, and resolve escalated client problems or disputes in a professional manner

  • Liaise with internal departments to ensure client needs are fulfilled effectively

  • Interface with clients and internal departments surrounding business and technical requirements of the software solution

  • Review system and department documentation to aid in the assurance of ongoing compliance of services and solutions with the Centers for Medicare and Medicaid Services’ (CMS) regulatory requirements

  • Prepare reports, presentations, change orders, and other deliverables as requested by clients and management

  • Identify improvement opportunities and work cross-functionally to drive process enhancements in order to deliver best in class service to clients

  • Assist in the development and maintenance of department policies and procedures, and the implementation of department tools to improve client experience and overall satisfaction

  • Promote performance excellence by demonstrating integrity, dedication, magnanimity, and accountability

  • Contribute to the achievement of Convey goals and objectives by performing other duties and special projects as assigned


 


Knowledge, Skills, and Abilities:



  • Understanding of Medicare compliance requirements

  • Advanced comfort level with technology and an aptitude for learning new software

  • Excellent written, verbal and interpersonal communication skills, and the ability to anticipate the needs of customers

  • Ability to speak clearly and concisely over the phone

  • Skilled in dealing politely, tactfully and firmly with a wide range of people and personalities

  • Excellent documentation skills and a strong attention to detail

  • Superior organization and time management skills

  • Ability to manage open requests and follow-up when necessary, without outside direction

  • Excellent problem-solving skills, including the ability apply critical thinking to define problems, establish facts, and draw valid conclusions

  • Ability to read and interpret documents, including but not limited to contracts, standard operating procedure manuals, and policies and procedures

  • Ability to work independently with minimal supervision, in a fast-paced environment with potential interruptions

  • Ability to manage small, medium, and large-scale projects while adhering to strict deadlines

  • Team player who contributes to success of the department and company


 


Education and Experience:



  • Bachelor's Degree or related qualification

  • Project management certification or three (3) or more years of experience in a comparable or complementary position leading projects

  • Minimum of one (1) year of experience in the Medicare Managed Care environment



About Us
Convey Health Solutions, together with Pareto Intelligence™, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.

As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.

Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at http://www.ConveyHealthSolutions.com

 

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

About the Company

C

Convey Health Solutions, Inc.

WHO WE ARE

Convey Health Solutions manages a myriad of administrative needs and makes it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific technologies and services that uniquely meet the needs of government-sponsored health plans.

OUR MISSION

To improve health plan operations and elevate the customer experience.

OUR VISION

Empowering health plans to excel through technology, service and advisory experience.

OUR VALUES
Integrity First - Inspired Teamwork - Compliance Matters

Overview:

The Privacy Manager will facilitate and ensure compliance with federal and state laws related to the compliance-driven issues for Health Plan member privacy, protection, and security. Additionally, will assist each division in maintaining a privacy program at all levels within the organization.

This person will lead investigations, as well as intake information in enterprise risk systems to create data risk-based models to identify and manage enterprise risk. Utilizes expertise to acquire, manage, and analyze data and report results. Creates tracking mechanisms and tools for department staff and enterprise to manage privacy risk.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Healthcare Services
WEBSITE
https://www.conveyhealthsolutions.com