Bilingual Chinese Concierge Navigator - Advocate (Mandarin)

Job Number6630Workplace Type : Fully RemoteRemote - CA,California

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

Overview of the Role :

Alignment Health is seeking a passionate and customer service oriented, remote bilingual Chinese concierge navigator advocate to join the member engagement team. As a concierge navigator advocate, you provide outreach and support to ensure all our members have access to the care they deserve. You will navigate our members through their health care and benefits, and connect the dots between our provider network, health plan operations, and supplemental vendors. You will be alongside our members every step of the way to ensure they are never alone in their healthcare journey. If you are looking for an opportunity to be a part of a team making a positive impact in the lives of seniors, we're looking for you!

Responsibilities :

• Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries; serve as a “subject matter expert” in the health care experience that our members navigate daily.
• Conduct member outreach phone calls and / or receiving inbound phone calls within the department’s goal timeframe; manage to the member’s communication preferences as possible, which may include time of day, channel, and language; utilize interpreter service as needed.
• Collaborate with our partners – including but not limited to other departments, supplemental benefit vendors, and provider network – to facilitate the member experience.
• Identify members targeted for care gaps and other campaigns, and connect members to programs or services when appropriate; analyze available programs, determine program eligibility, and connect member to appropriate provider or vendor.
• Conduct real-time documentation and timely wrap-up to support outcomes reporting in all systems / applications as required; must enter member demographics and information with accuracy and attention to detail, feel responsibility for the quality of our organizational data.
• Meet and / or exceed individual and team goals, and for submitting activity reports in the format and frequency required.
• Provide customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction.
• Participate in all required team meetings and trainings, and exhibit satisfactory understanding of new information and process.
• Adhere to all applicable attendance and productivity policies.
• Support other projects and duties as assigned by management

Required Skills and Experience :

Essential Physical Functions :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pay range : $41,600 - $52,000 Annually

Please note : All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception / deferral).

Alignment Health is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.