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Centene Corporation Senior Retention Field Representative in Raleigh, North Carolina

Position Purpose:

The Senior Field Retention Representative is responsible for enrolling and retaining current membership specializing in long term care and senior programs. They must meet the daily production metrics designed to achieve higher membership. The Senior Field Retention Representative conducts telephonic and field outreach which includes but is not limited to assistance at community events, provider and community office sites, and home visits to prospective and existing members. They must be able to effectively explain, communicate, and assist with educating members on coverage and care when facing loss of Medicaid with expertise in the long term care and senior program requirements. It is the responsibility of the Senior Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies. In this position the Senior Field Retention Representative will provide account management services for long term care and senior programs prospects and existing members.

  • Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility. Answer application and/or service questions regarding the programs and services in order to maintain/attract membership. Conduct outreach and follow up calls to educate members about free care, reduced cost care and other coverage options.

  • Ability to meet and exceed quality assurance standards.

  • Develop and maintain relationships with existing members by providing guidance and assistance throughout the year. Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by NC Medicaid.

  • Document all interactions in the appropriate system.

  • Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.

Education/Experience:

High School Diploma or Equivalent Required Associates Degree or Bachelors Degree Preferred. 2 - 4 years Health Care Related Experience.

This position is primarily remote, some office atttedance required (i.e, staff meeting therefore; candidates must be located in or near Raleigh, Durham, or Chape Hill

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

TITLE: Senior Retention Field Representative

LOCATION: Raleigh, North Carolina

REQNUMBER: 1217114

COMPANY: Clinical & Care Management

POSITION TYPE: Both

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