Remote Vietnamese Bilingual Customer Experience Specialist

Alignment Health is committed to serving seniors and those who need it most: the chronically ill and frail.

The Fully Remote Customer Experience Specialist plays a critical role in delivering compassionate, seamless service to our valued members—primarily older adults and individuals with disabilities. This fully remote role requires compliance to work only within the contiguous United States.

• Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued throughout every interaction.
• Own each member interaction end‑to‑end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow‑through when additional steps are required.
• Deliver exceptional service by consistently exceeding member expectations and reinforcing a culture focused on trust, compassion, and first‑call resolution.
• Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member‑friendly manner.
• Assist members with provider network and claim/reimbursement inquiries, benefit questions related to transportation, food, dental and other support services and needs, proactively identifying solutions and next steps.
• Answer incoming contacts within established service levels while always managing complex and sensitive situations with professionalism and care.
• Thoroughly document all member interactions, actions taken, and outcomes in real time to ensure accuracy, continuity of care and effective resolution.
• Proactively address member complaints, grievances, and disenrollment concerns with goal to resolve by listening for root causes, offering solutions, and escalating appropriately when needed.
• Support outbound outreach initiatives and service programs designed to improve engagement, education, and overall member experience.
• Represent Alignment Health with integrity and positivity, modeling a serving‑heart mindset and commitment to excellence in every interaction.
• Participate actively in ongoing coaching, feedback, and learning to continuously strengthen service skills and member advocacy.

• 2+ years of customer service, contact center, or member support experience, preferably in healthcare and/or Medicare Advantage.
• High school diploma or GED required. College degree, Associate’s or Bachelor’s preferred or any equivalent combination of education and work experience.
• Demonstrated ability to use technology and follow detailed workflow instructions.
• Bilingual English/Vietnamese (Read, Write, Speak).
• Minimum typing speed of 40 WPM.
• Proficient in navigating multiple systems simultaneously, including Microsoft Outlook, Word, Excel, CRM and Contact Center solutions.
• On camera presence for 100% remote training, one‑on‑one, team and group meetings.
• Workspace must be free of distractions with the ability to maintain strict confidentiality and compliance with HIPAA regulations.
• Sufficient internet bandwidth and access to connect with Alignment’s systems during scheduled shift.
• Proper care and availability of technology equipment such as headsets and keyboard to perform responsibilities without impact on operational and scheduled shift requirements.
• Clear, concise and warm verbal communication skills with the ability to explain complex information simply and compassionately and ability to document interactions accurately.
• Demonstrated empathy, patience, and respect when working with older adults and individuals with disabilities.
• Comfortable working in a culture of continuous coaching, feedback, and performance improvement to meet defined KPIs related to attendance, schedule adherence and quality.
• Ability to manage high call volumes while handling complex, emotionally sensitive interactions.
• Flexibility to work shifts to meet business needs.
• Knowledge of Medicare Advantage, Medi‑Cal, or managed care plans preferred.
• Strong problem‑solving skills with a proactive, ownership‑driven mindset.
• Organized, self‑motivated, and comfortable working in a fast‑paced environment.

The employee is regularly required to…