Member Services Specialist

Job Overview

General

Purpose:

This position provides administrative and technical support to the Director of Member Services and Outreach for the purpose of maximizing member satisfaction and member retention.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the Director and/or Health Plan administration as required.

• Maintain utmost level of confidentiality at all times.
• Adhere to Health System and Health Plan policies and procedures.
• Demonstrate business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Track and gather data and other necessary information for preparing various reports in support of member related functions.
• Perform other duties as assigned.

• Perform administrative duties in support of Member Services including, but not limited to, member eligibility and enrollment issues and escalation to HHSC.
• Assist with Value Added Service (VAS) Program and other incentives (backing, contracting, etc.).
• Assist with member inquiries pertaining to all Value Added Service inquiries.
• Assist with the ordering of Member State materials (TJ-ISteps and Texas Women’s Health Program).
• Assign unique identifiers to each piece of member material/communication and manage the unique identifier database.
• Ensure departmental files containing background documentation and appropriate approvals of all member and marketing materials are up to date (paper and electronic).
• Ensure all member material is culturally appropriate, written in plain language, at a 6.0 reading level and translated, including newsletters, handbooks, general educational materials and targeted outreach material.
• Assist with the content of member materials on the member website.
• Maintain inventory of member materials to ensure adequate inventory is on hand for mailings.
• Conduct HHSC marketing Paining when required.
• Compose and type correspondence, reports and presentations as appropriate.
• Assist with member notification letters and mailings.

Two-year degree or Associate’s degree; or two years related experience and/or training; or equivalent combination of education and experience.

High level of demonstrated computer skills required, including Microsoft Word, Excel, Access, PowerPoint and other database skills.