4,148 Participant jobs in the United States

Job Description

Description:

At High Desert PACE, we make the impossible, possible for underserved seniors. We do this through utilizing and developing cutting-edge healthcare and well-being service products especially for seniors and their families. Now is your chance to join our talented team that delivers unparalleled creative healthcare, insurance, social support and more to seniors. We create senior well-being through our courage to love, pioneering spirit and shared intention. These values permeate everything we do. At High Desert PACE, you’ll help inspire that magic by enabling our teams to push the limits of healthcare and well-being experiences and create the never-before-seen!

The PACE Navigator will be responsible for helping newly enrolled PACE participants in connecting them to the PACE system of care and serving as a liaison between providers and participants, ensuring a smooth introduction and onboarding to the PACE program. The PACE Navigator collaborates effectively with colleagues and stakeholders to promote the High Desert PACE values, team culture, and mission.

Duties and Responsibilities:

• Act as the main point of contact for all new enrollees during their first 90 days.
• Oversee monthly "Welcome to High Desert PACE Day" for all new enrollees, including provision and training of High Desert PACE, vitals and emergency equipment, touring the center, and introduction to the assigned IDT team.
• Ensure quick view is current upon enrollment, including participant picture, emergency contact information, HIPAA, enrollment date, and living environment.
• Provide timely and high-quality information regarding care and referral services to participants.
• Assist in coordinating appropriate internal and external referrals and services to PACE participants, including transportation, day center attendance, therapy, medication, meals on wheels, supplies, DME, personal care, etc.
• Provide high-quality and excellent customer service at all times.
• Assist in providing basic information and education regarding PACE services.
• Act as a liaison and maintain open communication with different disciplines, internal, and external providers to ensure the highest level of care.
• Serve as a back-up to assist the social services department to address any participants’ inquiries, providing guidance and assistance with any coordination and delivery of services.
• Assist management with related special projects, including the implementation of satisfaction surveys.
• Facilitate communication among service providers, family, participants, and caregivers.
• Provide customer service calls to ensure satisfaction with IDT and specialty care appointments.
• Respond to inquiries as to the current status of authorizations by assessing the request and evaluating the circumstances to provide the correct information.
• Refer participants and families to appropriate community agencies or facilities, act as liaison with such organizations, and as an advocate for participants.
• Provide a comprehensive hand-off to the assigned IDT team.
• Support the grievance process, providing high-touch customer service and partnership with the IDT and participant until resolution.
• Maintain established departmental policies and procedures, objectives quality assurance program, safety, and environmental.
• Enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Review the new participant tracker to identify immediate needs and follow-up rescheduling of appointments/needs.
• Review the New Participant Buddy Sheet, reinforce the importance of the external appointment scheduling process, and the medication refill process.
• Provide a copy of the insurance card and review the importance of taking it to all appointments.
• Verify the HIPAA Personal Representative Authorization form and that emergency contact information matches the form signed at enrollment.
• Review all scheduled appointments and assist when there are participants who have identified barriers with completing assessments via High Desert PACE and assist as needed.
• Review and complete High Desert PACE competency and verify that participants are able to use High Desert PACE and notify IDT when there are barriers for IDT awareness/discussion.
• Attend meetings as required and participate in committees as directed.
• Ability to schedule enrollment assessments as needed.
• Assist with requests and communication of an SDR.
• Other duties as assigned.

Qualifications and Requirements:

• High School Diploma or Equivalency required.
• Bachelor’s Degree in Social Services, Psychology, Health Science, or a relevant field preferred.
• Excellent organizational, customer service, and communication skills in settings with seniors, their families, and interdisciplinary team members.
• Highly motivated, self-directed, able to execute tasks in a quickly changing environment and make sound decisions in emergency situations.
• Excellent organizational, oral, and written communication skills.
• Ability to work independently with minimal supervision.
• Demonstrated ability to prioritize in a fast-paced environment.
• Experience and competency working with people from diverse backgrounds and cultures.
• Commitment to unlocking the full potential of our most vulnerable seniors.
• Bilingual English/Spanish preferred.

Participant Representative Summary This individual responds to in-bound telephone and email inquiries from employee groups of corporate clients and processes all specified services. Services include providing information regarding clients 401(k), sto Representative, Service, Retail

At Altasciences we all move in unison to assist and work in the discovery, development, and manufacturing of new drug therapies to get them faster to people who need them. No matter your role, we all play an important part and you will have a significant impact on the health and well-being of people across the globe. By living our values of Employee Development, Customer Focus, Quality and Excellence, Respect and Integrity, we look to foster a passionate and collaborative work environment and we are looking for talented and enthusiastic people, like you, to join our growing team! Whether you're a recent college graduate or seeking your next career opportunity, it's time to discover your future at Altasciences.

We are better together and together We Are Altasciences.

The Participant Recruitment Agent will provide volunteers with preliminary clinical trial information and company details as well as pre-screen volunteers to determine eligibility for clinical trial screening. The Participant Recruitment Agent will ensure all tasks performed are executed in compliance with study protocol, Good Clinical Practices (GCP) and Standard Operating Procedures (SOP)s.

• Ensure the confidentiality of clinical trial participants and sponsors is respected.
• Maintain and advocate a high level of customer service and quality within the department.
• Review and understand all assigned actively enrolling studies.
• Answer in-coming calls and internet applications/web-submission forms from clinical trial participants.
• Contact past/potential participants to provide upcoming clinical trial information and determine eligibility.
• Schedule screening and/or other clinical trial related appointments.
• Update participant management software with volunteer demographics and medical history.
• May confirm participant statuses and prepare/send check-in lists for clinical operations teams.
• Strive to achieve study recruitment targets and departmental objectives.
• Proactively communicate issues and/or problem resolutions to departmental supervisors and managers.

• High School Diploma or GED required; college degree and related work experience preferred.
• Good Communication (French and English for Montreal location), customer service focused, able to work in fast-paced environment.

The pay range estimated for this position is $18 - $21 hourly. Please note that hourly rates/salaries vary within the range based on factors including, but not limited to, prior relevant experience, skills, education, certification, location as well as internal equity and market data.

Altasciences is an equal opportunity employer committed to diversity and inclusion. Our goal is to attract, develop and retain highly talented employees from diverse backgrounds, allowing us to benefit from a wide variety of experiences and perspectives. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability or any other protected grounds under applicable legislation. Reasonable accommodations for persons with disabilities during the recruitment process are available upon request. Join us at Altasciences!

Job Type

Full-time

Description

Clarity is a dynamic, fast-paced organization committed to providing solutions that make it easier to protect health and wellness today and prepare for financial stability tomorrow. We believe that life is a journey. One that should be lived well. Where all people are given the opportunity to succeed. So, we'll stop at nothing to bring clarity, so our employees and our customers are prepared for whatever comes their way.

Our culture is rooted in appreciation for one another, a commitment to growing both personally and professionally and being flexible in how we work and how we work together. We strive every day to ensure each of our Clarity team members feel valued. The Clarity family is diverse, passionate, and skilled. We pride ourselves on promoting from within and working to retain all our valued employees. When you join our team, you are family!

With minimal supervision and substantial latitude for independent judgement and discretion, the Participant Services Representative position in Participant Services is responsible for responding to all member inquiries with the highest level of professionalism and integrity. PSRs are the first point of contact with Clarity members. They have a responsibility to make a positive first impression while building a trusting relationship. PSRs are responsible for owning the issues they receive and following through.

Additional Job Responsibilities

• Work cross-functionally with colleagues to deliver exceptional customer service and build cohesive interdepartmental relationship.
• Advise and assist Client Service Specialist(s) as subject matter and system expert on items relating to new client implementations and renewals to ensure accurate and optimal client set up.
• Research and correct benefit enrollment issues and escalations.
• Submit, monitor, and follow through on all service tickets to the vendor in relation to open questions and/or enhancement requests.
• Identify, investigate, and escalate areas of client dissatisfaction to management, to provide excellent service.
• Contribute to departmental projects as needed and successfully manage multiple projects, tasks and responsibilities simultaneously
• Other duties as assigned.

• Education: Bachelor's degree in a business or technology related major or equivalent demonstrated work experience highly preferred.
• Experience: Demonstrable ability and skill to service a high volume of clients, as well as manage multiple client-facing and internal projects of moderate complexity. Minimum of 1-3 years' experience in the field with specific experience in a client facing role.
• Preferred skills/knowledge:
• Demonstrate a positive attitude and demonstration of flexibility in meeting client needs.
• Attention to detail and the ability to analyze and problem solve is essential. Ability to manage multiple tasks and responsibilities, and successfully work under time constraints. Experience with
• Consumer Benefits and Benefit Administration, such as HSA, FSA, HRA, Cobra and Commuter Benefits preferred
• Bilingual in Spanish with written and oral fluency strongly preferred - Fluency Test Required
• Travel: Minimal travel is required.

• Medical, dental and vision benefits
• 401(k) with employer match
• Education Assistance Program
• Clarity HRA
• Ready for Life HSA Funding Advance
• Company-paid Long-Term Disability, Short-Term Disability and Life Insurance
• Voluntary Life Options
• Tuition Reimbursement Program
• $1,200 Defined Contribution Benefit to offset insurance premiums
• Paid Time Off; includes vacation, personal and sick

Job Description

The WelbeHealth PACE program helps seniors stay in their homes and communities by providing medical care and community-based services. We provide all-inclusive care for seniors including medical, dental, physical therapy, and much more. Our core values and participant focus lead the way no matter what.

The Participant Experience Liaison is accountable for connecting PACE participants to our PACE system of care, and serving as a liaison between participants and their WelbeHealth care team. This role focuses on ensuring smooth onboarding to the PACE program, and plays a key role in supporting participants throughout their entire WelbeHealth journey.

Essential Job Duties:

• Act as a liaison and maintain open communication with interdisciplinary team (IDT) disciplines, other care team members, and external providers to ensure the highest level of care
• Assist management with participant experience and service recovery related special projects, such as implementation of satisfaction surveys
• Facilitate communication among service providers, families, participants, and caregivers
• Provide customer service calls to ensure satisfaction with IDT and specialty care appointments
• Support the grievance process, providing high touch customer service and partnering with IDT and participant until resolution
• Attend all required meetings and committees as directed by supervisor
• Continue check-ins with participants to ensure they are no longer a risk for disenrollment and their concerns have been handled

Job Requirements:

• High school diploma or equivalency; professional experience may be substituted
• Bachelor's degree in communications or relevant field preferred
• Excellent organizational, customer service, and communication skills in settings with seniors, their families, and IDT members
• Ability to present information to various groups and leadership
• Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations

Benefits of Working at WelbeHealth: Apply your service expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
• Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path!
• And additional benefits

Salary/Wage base range for this role is $24.39 - $2.20 hourly + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.

Compensation

24.39—$3 .20 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

FLSA: Non-exempt Hours per week: 40

Position Summary

The Participant Services Representative provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

• Maintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions.
• Provides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits.
• Updates files, including documenting system notes of conversations or action taken.
• Performs tasks associated with the administration of retirement and health and welfare benefits such as;
  • Processing and/or sending mailers or required forms as requested by members.
  • Processing and/or sending correspondence related to member or claims status.
  • Processing enrollments and updating member information in applicable system(s).
  • Distributing communications related to regulatory requirements.
• Initiates Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary. Follows up to ensure successful completion of Action Request.
• Researches and resolves complex and technical issues and irregularities.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Six months of experience working in customer service, third-party administrator processing, or benefits administration.
• Strong work ethic and team player mentality.
• Highly developed sense of integrity and commitment to customer satisfaction.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Solid organization skills with strong detail orientation and listening skills.
• Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
• Proficient computer skills including MS Office tools and applications.

Preferred Qualifications

• Call center experience in benefits claims, billing, or eligibility.

Disability Accommodation

Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at , and we would be happy to assist you.

Zenith American Solutions

Real People. Real Solutions. National Reach. Local Expertise.

We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!