Adjudication, Analysis Skills, Business Administration, Communication Skills, Computer Skills, Customer Satisfaction, Customer Service Management, Customer Support/Service, Distribution Management, Federal Laws and Regulations, Health Insurance, Healthcare, High School Diploma, Leadership, Mail Processing, Marketing, Metrics, Microsoft Office, Organizational Skills, People Management, Presentation/Verbal Skills, Quality Assurance, Regulations, Reporting Skills, Sales Management, State Laws and Regulations, Team Lead/Manager, Training Program, Writing Skills
East Syracuse, NY, New York
Scope of Responsibilities: Provide guidance, insight, and leadership during the building of new benefits, while providing top level service to ProAct clients. Works under direct supervision and follows standard procedures to accomplish assigned tasks related to the Implementation and Benefit Review Team.
Job Summary: Provides support to the Implementation Manager for all aspects of customer service, account management, quality assurance, and other administrative projects. The position will function as a lead role within Implementation and be a liaison to management and other organization leaders, while still performing the daily functions of an Implementation Coordinator. These functions include, but are not limited to, assisting with the day-today operations of Account and Client Resources of ProAct as well as coordinating and implementing the setup/support of new ProAct clients within the assigned pod structure.
Responsibilities:
- Act as the Implementation Team leader; facilitate regular meetings with the Implementation Coordinators within the pod structure.
- Assist with managing and executing the setup of benefit designs in all appropriate systems, for new ProAct clients within the pod structure.
- Oversee benefit changes or updates and testing for existing ProAct business in all appropriate systems.
- Assist the Implementation Manager in coordinating client implementation assignments within the pod structure.
- Assist with quality assurance audits on a regular basis to measure client satisfaction.
- Assist Account and Client Resources with impact analysis review.
- Assist Customer Service Representatives and/or Account and Client Resources with the resolution of customer service issues, requiring additional support, to ensure complete client satisfaction.
- Coordinate, maintain, and manage the distribution of member mailings and welcome materials.
- Collect and maintain various team metrics, providing regular reporting to the Implementation Manager and other leaders, as necessary.
- Assist in facilitating and performing training sessions for both new and existing employees.
- Provide support to the Implementation Manager and/or the Account and Client Resources, as needed, when communicating with external business partners.
- Responsible for completing all mandatory and regulatory training programs.
- Perform other duties as assigned.
Qualifications:
Job Requirements:
- Exceptional written and verbal communication skills
- Strong PC skills including Microsoft Office
Education:
- Required: Minimum High School Diploma or GED
- Preferred: AS Degree or Higher in Business Administration, Marketing or related field
Experience:
- Required: Minimum 1 year of experience with the RxSense adjudication and reporting platforms
- Required: 2 years’ experience in Customer Service
- Preferred: 2 years’ experience with Health Care, Insurance, or related field
Compensation
$24.00 per hour.
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.