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Healthcare Published date: July 12, 2017

Hello,


 


Responds to basic member, provider and other inquiries via telephone, correspondence or lobby walk-in while meeting all corporate guidelines and performance standards. 


Acts as a primary contact for escalated calls and/or escalated issues in which special care is required to enhance WellCare relationships with members and providers. 


Acts as a mentor to associates. Provides real-time feedback as appropriate for the job function. 


Acts as a Subject Matter Expert (SME). 


Works with department management to maintain daily workflow within the department in order to maximize productivity. Assists in the development of long-range goals and drives through to completion. 


Handles issues that require additional research and/or special handling including regulatory, congressional, trust, marketing, sales, executive office, Centers for Medicare and Medicare Services (CMS), etc. 


Investigates problems of an unusual nature in the area of responsibility in order to identify root cause. Presents proposed solutions in a clear and concise manner. 


 


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