Member Services Representative
Partnership HealthPlan of California - Santa Rosa, CA
Hiring: Member Services Representative Company: Partnership HealthPlan of California Location: Santa Rosa, CA Job Posted Time: 2026-09-10 13:33:49 About the job Required Skills: •Responds to member and provider issues and questions received in the member services queue. •Escalates calls to Lead Member Services Representative or Member Services management, as needed. •Works with internal departments, providers, and external organizations to resolve issues as needed. •Reviews all incoming e-mails to ensure compliance with instructions that impact processes and/or benefits that impact members. •Processes enrollment duties as assigned. •Enters data in relevant online systems. Qualifications: •High school diploma or equivalent; minimum one (1) year Call Center experience in a MCO setting and/or working with the public in a service environment, preferred; previous customer service or call center experience preferred. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!