TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.
Job Summary:
The Health Partner Engagement Specialist I is responsible for collaborating with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in CareSource and affiliated Companies ability to fulfill promises, integrity to make things right when problems occur, pride in working with Caresource and their passion about Caresource being a vital member of the care team.
Essential Functions:
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Support the account strategy and provide account support with the goal of driving the overall satisfaction and engagement of key Health Partners
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Resolve routine issues with the Health Partners in the market in accordance with the department’s service level agreements/expectations
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Participate in the maintenance and development of key relationships within defined Key Accounts.
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Proactively and in response to concerns reach out to Health Partners to ensure their needs are being met and to see if there are any issues that they need help resolving
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Perform maintenance tasks in designated system(s)
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Complete Health Partner education, compliance, and/or complaint resolution
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Maintain PR Customer Relationship Management (CRM) tool and assignment of tasks for the Health Partner Consultant when appropriate
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Work collaboratively with departmental staff and management personnel to ensure continuous performance improvement in an effort to improve customer satisfaction and internal operations
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Document all provider concerns in applicable systems and work collaboratively within the organization to resolve identified issues
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Prepare and review analysis to assist in the review of provider performance
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Support recruitment and contracting efforts by developing strong interpersonal relationships with providers
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Regular travel to conduct health partner visits and community based visits as needed to ensure effective administration of the program
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Perform all necessary duties to successfully support CareSource and Affiliate Companies contractual requirements with state and any other regulatory entities.
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Perform any other job duties as requested
Education and Experience:
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Bachelor degree in business, communications, or related field or equivalent experience is required
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One to three (1-3) years of healthcare industry, account management or sales experience, preferably in the Healthcare field is preferred
Competencies, Knowledge and Skills:
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Intermediate proficiency level with Microsoft Outlook, Word, and Excel
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Knowledgeable of Cactus or other like system
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Knowledge of various reimbursement methodologies to include capitation, per diems, discounts, etc.
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Strong customer service skills
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Excellent written and oral communication skills
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Strong problem-solving skills
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Strong interpersonal skills
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Ability to work as a team
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Ability to manage multiple projects and prioritize
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Intermediate negotiation skills
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Excellent research and analytical skills
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Marketing competencies
Licensure and Certification:
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Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated
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To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
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CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
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Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
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Reside in the same territory they are assigned to work in ; exceptions may be considered, due to business need
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May be required to travel greater than 50% of time to perform work duties. A valid driver’s license, car, and insurance are necessary for work related travel
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Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
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Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our member and may refer members to other CareSource resources
Compensation Range:
$49,050.00 - $78,570.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
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Brand=TrueCare
