Position Summary:
We are looking for a detail oriented individual to join Medicare PCP Enrollment Validation Team. Plan Sponsor Service Consultants (PSSC) support PCP and CSNP processes. PSSC's are required to perform multi-system research, make outbound calls and process provider updates for new and existing members. Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition. The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics. Our team is member centric and strives to provide excellent customer service to our members. The PSSC will work collectively with teammates, leadership and other departments as needed in their role.

Duties
Develop fixture and merchandise layouts that accurately reflect required product mix based on store location and clientele. Includes identifying stores within a growing number of cluster definitions (i.e., ethnicity, affluence, geography, etc.) that ultimately drive automated product replenishment. Independently prioritize and manage scheduled assignments to insure on-time project completion. Analyze, prioritize and summarize data, and compare to company standards in such a way that identifies opportunities on a store specific basis. Interact with Regional Sales Manager to confirm store specific analysis (e.g., sales, competition, ethnicity of clientele, etc.) in an effort to maximize individual store profit; and to confirm product mix, category adjacency and service issues as they relate to customer needs. Support corporate expense control by managing the impact of layout changes relative to established budget guidelines. Advocate alternative approaches, as needed, and communicate incremental scope of work and added cost to field management and project partners. Work with the Construction team and outside vendor architects to develop innovative merchandising solutions for atypical store locations.

Required Qualifications
High School Diploma, GED or Equivalent.

Preferred Qualifications
1-2 years of experience working with members and/or providers.
Basic healthcare background.
Previous knowledge of provider networks.
Outbound call experience.
Candidate must be proficient in Outlook, MS Excel and Word.
Excellent Communication Skills.
Experience working in a team setting

Education
High School Diploma, GED or Equivalent

Notes:
Fully remote
Schedule: Monday–Friday, 8:00 AM–4:30 PM EST
Must work EST hours (preference given to EST-aligned candidates)