Member Service Guide (Waltham, MA)

Devoted Health, Waltham, MA

See jobs at Devoted Health

A bit about us:

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.

That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.

We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.

A bit more about this role:

As a Guide at Devoted Health you have the opportunity to make a difference every single day in the complex world of health care. You will be the main point of support for our members. You will be responsible to provide caring accurate guidance in the complex world of health care. The type of care and guidance you would give to your own family member. You will learn deep knowledge about the benefits we’ll offer and be able to explain them to our members. You will work with a team that includes doctors and nurses (Clinical Guides) so that you can seamlessly help members with service and clinical questions. We’ll ask you to take the extra time to make sure our members know what’s available to them; at the same time you’ll learn what is important to them so you can help them even more. You will have a keen ear in listening for the opportunity to help them above and beyond the initial reason for their call. A Devoted Health Guide actively listens to members, sees opportunity in the unexpected, responds appropriately, and creates a caring atmosphere for our members.

Our ideal Guide is caring, compassionate, solutions-oriented, and exudes enthusiasm in providing an outstanding experience for Devoted Health’s members.

Responsibilities will include:

Engaging with members, utilizing technology and data to better understand their needs
Developing a solid understanding of our benefit offerings in order to investigate and resolve member questions
Breaking down complex health care information so it is clear to our members
Supporting members in finding a physician or specialist that's aligned with their values and preferences
Documenting accurate information about member needs in our system
Listening to members and identifying instances when higher levels of support through our clinical partners is needed
Assisting members in optimizing their benefit usage

Attributes to success:

A strong desire to improve the health care experience; you love to serve and make a difference
Proven success in building relationships and trust
The ability to adjust your tone and approach to different people
The ability to break down and articulate complex information in simple terms
Comfort working in a dynamic startup environment
Adaptability; processes and workflows may change as we look to improve both the member experience and your experience as a Guide
Being able to balance building a relationship with our members and supporting the business

Desired skills and experience:

Health insurance experience (Medicare Advantage a plus)
Must be commutable to our Waltham, MA office
Ability to work variable shifts and weekends to support the needs of our Members across multiple time zones (Call Center hours are 8am-9pm 5-7 days/week depending on volume and time of year)
Bilingual in English and either Creole or Spanish
Solid understanding of health care claims & benefits
You have a minimum of 3 years of experience in a customer- serving atmosphere
The ability to comfortably multi- task: you’ll be listening, talking and typing all at the same time
You’re a great team member with a can-do attitude; you’re self- reflective

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

About Devoted Health

Devoted Health is a new health care company serving seniors. Aiming to launch Medicare Advantage plans in 2019, our mission is to build a health care solution good enough for Mom. We will be devoted to the health and wellness of our members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.