Member Services Representative jobs in Reno, NV

Prominence Health is headquartered in Reno, Nevada and is a wholly owned subsidiary of Universal Health Services (UHS). We offer HMO, PPO, and Medicare Advantage plans, Administrative Services for self-funded organizations, and Accountable Care Organization (ACO) administration and consulting. We started in Northern Nevada in 1993 and have expanded our network coverage across Nevada, Texas, and Florida to serve over 200,000 customers and members with highly competitive plans, physician partnerships, and individualized service. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

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Job Summary: The Member Outreach Representative serves as a call agent reaching out to members to promote quality and wellness programs. The primary function of the outreach agent will be contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products or services, as well as respond to inquiries and assist with quality improvement and member health assessments. The Member Outreach Representative will identify quality insufficiencies and will consult with the department and company's leaders on quality improvement initiatives and outcomes. Will work non-business hours in order to better reach members via telephone.

Job Duties/Responsibilities:

• Conducts outbound member outreach calls and documents activities
• Provides excellent customer service by consistently meeting and exceeding customer service standards
• Develops best practices for members' outreach

Benefit Highlights:

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries! * More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications and Requirements:

• High School diploma or equivalent.
• 3 years' experience in making outbound calls to members and/or patients
• 3 years' customer service experience in a managed care, medical office or health care related field.
• Understanding of health plan departments and functional areas for problem resolution
• Comfortable collecting and tracking performance metrics and managing team to certain performance expectations
• Ability to effectively communicate in English, both verbally and in writing.
• Positive attitude is a must.
• Proficient in Microsoft Office skills.
• Enjoys working in both individual and team settings
• Problem solver - enjoys problem-solving
• Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment
• Good communication and relationship skills
• Strong analytical skills
• Attention to detail
• High level of energy

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

If you would like to learn more about the opportunity, please contact Bridget Gomez at: