**Job Summary:**
Join arenaflex, a leading healthcare organization dedicated to delivering high-quality services to our members, as a Medicare Outreach Customer Service Representative. As a key member of our team, you will play a vital role in promoting healthy lifestyles among our membership, educating and networking with diverse communities, and fostering strong relationships with providers and outside agencies. This is a unique opportunity to work in a dynamic, fully remote environment and contribute to the success of our organization.
**About arenaflex:**
arenaflex is a forward-thinking organization that values the talents and abilities of all our employees. We strive to create an open, cooperative, and dynamic environment where employees can thrive and drive our organization forward. Our mission is to help people live healthier and more satisfying lives, and we are committed to delivering quality service to all our members.
**About arenaflex Health Plan:**
arenaflex Health Plan is our Michigan-based health plan dedicated to meeting the healthcare needs of each of our Michigan members. We offer a range of health insurance programs designed to promote healthy lifestyles and provide access to quality care. Learn more about arenaflex Health Plan at [https://www.arenaflexhealthplan.org](https://www.arenaflexhealthplan.org).
**About arenaflex, Inc.:**
arenaflex, Inc. is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. We are committed to delivering quality care and promoting healthy lifestyles among our membership. Learn more about arenaflex, Inc. at [https://www.arenaflexinc.org](https://www.arenaflexinc.org).
**Key Responsibilities:**
* Deliver, strategize, and improve quality with a focus on primary care
* Educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan
* Establish and maintain relationships for the promotion of healthy lifestyles among membership
* Track and trend HEDIS or Medicare Stars rates
* Responsible for member and provider contacts and positive outcomes
* Foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned
* Support the Customer Service department Medicare Stars Program
**Qualifications:**
* **Required:**
+ High School Diploma or equivalent educational certification
+ Two (2) years' experience in a customer service-related position
* **Preferred:**
+ Associate Degree in health care administration, communication, marketing, or related field
+ One year experience in a community-focused outreach position
+ NCQA experience specific to HEDIS measurement
+ In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.
**Skills and Competencies:**
* Excellent communication and interpersonal skills
* Ability to work in a fast-paced, dynamic environment
* Strong problem-solving and analytical skills
* Ability to build and maintain relationships with diverse stakeholders
* Proficiency in Microsoft Office and other software applications
* Strong attention to detail and organizational skills
**Career Growth Opportunities and Learning Benefits:**
* arenaflex offers a range of training and development opportunities to help you grow and succeed in your career
* Collaborate with a talented team of professionals who share your passion for delivering quality healthcare services
* Opportunities for advancement and professional growth within the organization
* Access to industry-leading training and development programs
**Work Environment and Company Culture:**
* arenaflex is a fully remote organization, offering the flexibility and autonomy to work from anywhere
* Collaborative and dynamic work environment that values open communication and teamwork
* arenaflex is an Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
**Compensation, Perks, and Benefits:**
* Competitive salary and benefits package
* Comprehensive health insurance program
* Retirement savings plan with employer match
* Paid time off and holidays
* Opportunities for professional growth and development
**How to Apply:**
If you are a motivated and results-driven individual with a passion for delivering quality healthcare services, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [arenaflex Careers](https://www.arenaflexcareers.org).
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