Personal Care Connector

Responsibilities:

The Personal Care Connector (PCC) is a high-touch, extremely effective service specialist, responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, and utilization management program interventions.  The PCC performs in a contact center environment, effectively handling calls from Members, Providers and other areas, internal and external to the company.  The PCC handles daily routine calls from Members & Providers in accordance with metric and performance requirements, identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources.  The PCC will handle all in/outbound calls and transactions directly supporting Clinical staff and assigned local teams, provide members with problem resolutions, educational materials, and carry out strategies to increase health care adherence to reduce barriers to care.

Education/ Experience:

• High School/GED.
• Working knowledge of Medicare & Medicaid Required - (2-4  years preferred).
• Experience in healthcare preferred.
• 3-5 years experience preferred.
• Working knowledge of Medicare & Medicaid Required - (2-4  years preferred)
• Experience in healthcare preferred.
• Proven ability to keep accurate and timely records and documentation according to established processes.