Job Summary:
The Member Engagement Analyst III is responsible for contributing to the overall support of Member Services programs by coordinating processes and procedures associated with benefits and retention.
Essential Functions:
- Serve as a liaison for Value Added Services/Benefits, member incentives and rewards programs
- Supports member and community advisory committee meetings, including in rural communities if applicable, and Consumer Council Meetings (external)
- Supports the implementation and data analysis of member engagement and retention strategies, leveraging data/intel to improve retention and support member growth
- Serve on internal teams to determine that drive engagement and retention while leveraging incentive/rewards and coordinating with vendors to implement work with various internal groups to share personas (behaviors/attitudes)
- Facilitate and manage workgroups to collect and document retention initiatives
- Facilitate/promote problem identification, analysis and resolution of issues associated with data collection and evaluation for retention and incentives
- Collaborate with business owners to share insights and drive market and product improvement plans; manage and report out to the business quarterly
- Ensure that contractual requirements are met associated with Member Rights, member communication and retention efforts
- Monitor all regulatory requirements and policies and procedures
- Support the implementation of community programs with population health goals and compliance with contractual requirements
- If assigned to NV market, responsible for administration of the Cultural Competency Program and Plan to ensure care and services to members are delivered in a culturally competent manner
- Liaises and collaborates external partners and stakeholders, and internal business owners to manage communication and deliverables
- Evaluate and trend complaint data and recommend and implement solutions to strengthen the program and mitigate member disenrollment
- Analyze data and identify trends monthly to ensure company and state regulator expectations are met
- Perform any other job duties as requested
Education and Experience:
- Bachelor of Science/Arts in a Business-related field or equivalent years of relevant work experience is required
- A minimum of three (3) years of Medicaid health insurance, healthcare and/or managed care experience is required
- Experience with and empathy for the low-income demographic is required
- Experience working cross-functionally and demonstrated ability to execute initiatives primarily through influencing other stakeholders is required
Competencies, Knowledge and Skills:
- Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio
- Strong data analysis and trending skills
- Strong team and staff development skills
- Strong collaboration and conflict resolution skill sets
- Ability to build relationships/collaborate and influence at all levels
- Strong process and analytical skills with the ability to articulate and define outcome measures that capture key performance metrics
- Ability to work in a fast-paced environment
- Attention to detail
- Ability to develop, prioritize and accomplish goals/time management
- Strong decision making and problem-solving skills
- Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats to all levels
- Strong interpersonal skills & high level of professionalism
- Ability to work independently and within a team environment
- Effective active listening and critical thinking skills
- Display a customer service, member-focused orientation
Licensure and Certification:
- 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.
- 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:
- General office environment; may be required to sit or stand for extended periods of time
- Ability to travel as required by the needs of the business
Compensation Range:
$62,700.00 - $100,400.00
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
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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