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Member Services Representative

E030ec3a Bfa7 4ac8 Ab8b Dbcee36ca7f5 19000101 000001 · Doral, FL, US, Doral, FL · On Site · Active · $18–$20 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyE030ec3a Bfa7 4ac8 Ab8b Dbcee36ca7f5 19000101 000001
TitleMember Services Representative
Normalized title-
Department / team-
LocationDoral, FL, United States
Work modelOn Site
Employment type-
Salary$18–$20 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-04-20 / 2026-05-31
Changed / last seen2026-06-21 / 2026-06-21

Related slices

PageWhat it containsOpen
Company jobsActive postings from E030ec3a Bfa7 4ac8 Ab8b Dbcee36ca7f5 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Doral.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyE030ec3a Bfa7 4ac8 Ab8b Dbcee36ca7f5 19000101 000001
Sourceea56d851-a7dd-4a47-8476-b6e0d663068e
ATS providerADP Workforce Now Recruiting

Description

About us: Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at www.solishealthplans.com to learn more about us! *Must be Bilingual in English and Spanish.* Position is FULLY ON SITE Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members! Join our winning Solis Team! Position Summary: Solis Health Plans is looking for a Member Services Representative primarily responsible for providing quality, professional service to all customers when calls are received through the Member Services Department via telephone, written or in-person in accordance with Plan guidelines. Essential Duties and Responsibilities: Handles telephone, written and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction. Assists callers on inquiries regarding coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, medical group/PCP, explanation of how the plan works and how to utilize services, assists with information regarding referrals or authorizations, member complaints, identification card requests. Must Report to the Doral HQ. Responsible for maintaining customer service levels (abandonment rate, speed of answer and service level) within established parameters. Is knowledgeable on plans benefit, CMS and Plans policies and procedure. Applies high level of subject matter knowledge to solve a variety of common business issues. Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS. Identifies the differences between a Grievance, Appeal or Coverage Decision and process the request through the appropriate channels. Identify, handle, document and/or route Utilization Management inquiries appropriately Identify and document Coverage Determinations. Documents all inquiries and complaints. Interacts with other departments about member issues or concerns. Approaches work in a meticulous and thorough manner, pays attention to detail and follows company scripts. Manages time effectively and prioritizes tasks to meet deadlines. Assists customers, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner. Complies with company policies and procedures and maintains confidentiality of customer medical records in accordance with state and federal laws. Ensures compliance with all HIPAA, OSHA, and other federal, state and local regulations. Participates in meetings, trainings and in-service education, as required. Highly regulated environment. Time frames to handle issues are in accordance with CMS time frames. Interacts with members, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. Qualification and Education: Minimum of High School diploma or equivalent. Minimum of 1year healthcare experience is required, with a preference for plan experience. Working knowledge of the Privacy and Security Health Insurance Portability and Accountability Act (HIPAA) regulations. Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required. Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization. Excellent computer knowledge is required, including proficient knowledge of Microsoft Office Familiarity with healthcare laws, regulations and standards. Ability to compute basic arithmetic and work with numbers. Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies. Ability to work effectively independently, work with very little supervision and in a team environment. Ability to read, analyze, and interpret technical procedures or governmental regulations. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public. Ability to define problems, collect data, establish facts, and draw valid conclusions. Strong decision-making, analytical skills. Must be self-motivated, organized and have excellent prioritization skills. Must be able to work well under stressful conditions. Must be able to work in a fast paced environment. Fluency in English and Spanish. What set us apart: Join Solis Health Plans as a Member Services Representative (Bilingual in Spanish) and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Full job record

Job IDfc2ccbe12f67f5a76145d7aebf9ac21d8688aace
Org IDb12b8722-a3e2-477b-b883-67e4b162bf39
Source IDea56d851-a7dd-4a47-8476-b6e0d663068e
Board IDea56d851-a7dd-4a47-8476-b6e0d663068e
Provideradp_workforcenow
Provider Job Key690378
TitleMember Services Representative
Normalized Title—
Statusactive
Activeyes
Location TextDoral, FL, US, Doral, FL
Department—
Team—
Employment Type—
Workplace Typeon_site
Remote Policy—
CountryUnited States
RegionFL
CityDoral
Salary Raw18 To 20 (USD) Hourly
Salary Min18
Salary Max20
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=e030ec3a-bfa7-4ac8-ab8b-dbcee36ca7f5&ccId=19000101_000001&lang=en_US&type=JS&jobId=690378&jwId=9201882114573_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=e030ec3a-bfa7-4ac8-ab8b-dbcee36ca7f5&ccId=19000101_000001&lang=en_US&type=JS&jobId=690378&jwId=9201882114573_1
First Seen At2026-05-31 18:59:01Z
Last Seen At2026-06-21 12:04:02Z
Last Checked At2026-06-21 12:04:02Z
Last Changed At2026-06-21 12:04:02Z
Inactive At—
Source Posted At2026-04-20 15:26:00Z
Source Updated At—
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.32.25/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.32.25/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.32.25/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\"><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\"><strong>About us:<br></strong></span><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\">Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.<strong>&nbsp;Please check out our company website at <a href=\"https://www.solishealthplans.com/\" target=\"_blank\"><span style=\"color:blue;font-weight:normal;\">www.solishealthplans.com</span></a> to learn more about us!</strong></span></p><p style=\"margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; font-weight: normal; font-style: normal; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext; text-align: justify; text-indent: 0px;\"><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong style=\"box-sizing: border-box; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; font-weight: 700; color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\" id=\"isPasted\">*Must be Bilingual in English and Spanish.*</strong></span></p><p style=\"margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; font-weight: normal; font-style: normal; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext; text-align: justify; text-indent: 0px;\"><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><br></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong>Position is FULLY ON SITE Monday-Friday.</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\"><strong>Location:&nbsp;</strong>9250 NW 36th St, Miami, FL 33178.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong><em>Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!</em></strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong><em>Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members!</em></strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong><em>Join our winning Solis Team!&nbsp;</em></strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;line-height:normal;'><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\"><br></span></p><div><div class=\"fr-view\"><div><div class=\"fr-view\"><div><div><div><div class=\"fr-view\"><div><div><div><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.13.17/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"></span><div><p><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.9.7/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"></span></p></div></div><p style='margin:0in;font-size:15px;font-family:\"Aptos\",sans-serif;' id=\"isPasted\"><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\"><strong><u>Position Summary:</u></strong></span></p><p style='margin:0in;font-size:15px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin:0in;font-size:15px;font-family:\"Aptos\",sans-serif;'><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\">Solis Health Plans is looking for a Member Services Representative primarily responsible for providing quality, professional service to all customers when calls are received through the Member Services Department via telephone, written or in-person in accordance with Plan guidelines.</span></p><p style='box-sizing: inherit; margin: 0px 0px 1em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 14px !important; line-height: 1.5; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><br></span></p><p style='box-sizing: inherit; margin: 0px 0px 1em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 14px !important; line-height: 1.5; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><u><strong>Essential Duties and Responsibilities:</strong></u></span></p><ul style='box-sizing: inherit; margin: 0px 0px 10px; padding: 0px 0px 0px 40px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 12.8px; line-height: inherit; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; list-style: disc; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Handles telephone, written and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Assists callers on inquiries regarding coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, medical group/PCP, explanation of how the plan works and how to utilize services, assists with information regarding referrals or authorizations, member complaints, identification card requests.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Must Report to the Doral HQ.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Responsible for maintaining customer service levels (abandonment rate, speed of answer and service level) within established parameters.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Is knowledgeable on plans benefit, CMS and Plans policies and procedure.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Applies high level of subject matter knowledge to solve a variety of common business issues.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Identifies the differences between a Grievance, Appeal or Coverage Decision and process the request through the appropriate channels.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Identify, handle, document and/or route Utilization Management inquiries appropriately</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Identify and document Coverage Determinations.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Documents all inquiries and complaints.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Interacts with other departments about member issues or concerns.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Approaches work in a meticulous and thorough manner, pays attention to detail and follows company scripts.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Manages time effectively and prioritizes tasks to meet deadlines.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Assists customers, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Complies with company policies and procedures and maintains confidentiality of customer medical records in accordance with state and federal laws.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ensures compliance with all HIPAA, OSHA, and other federal, state and local regulations.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Participates in meetings, trainings and in-service education, as required.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Highly regulated environment.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Time frames to handle issues are in accordance with CMS time frames.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Interacts with members, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.</li></ul><p style='box-sizing: inherit; margin: 0px 0px 1em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 14px !important; line-height: 1.5; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong style=\"box-sizing: inherit; font-weight: 600; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important;\"><u>Qualification and Education:</u></strong></span></p><ul style='box-sizing: inherit; margin: 0px 0px 10px; padding: 0px 0px 0px 40px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 12.8px; line-height: inherit; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; list-style: disc; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Minimum of High School diploma or equivalent.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Minimum of 1year healthcare experience is required, with a preference for plan experience.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Working knowledge of the Privacy and Security Health Insurance Portability and Accountability Act (HIPAA) regulations.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Excellent computer knowledge is required, including proficient knowledge of Microsoft Office</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Familiarity with healthcare laws, regulations and standards.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ability to compute basic arithmetic and work with numbers.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ability to work effectively independently, work with very little supervision and in a team environment.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ability to read, analyze, and interpret technical procedures or governmental regulations.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Ability to define problems, collect data, establish facts, and draw valid conclusions.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Strong decision-making, analytical skills.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Must be self-motivated, organized and have excellent prioritization skills.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Must be able to work well under stressful conditions.</li><li style=\"box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\">Must be able to work in a fast paced environment.</li><li style=\"box-sizing: inherit; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; font-family: tahoma, sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; text-align: left; font-size: 14px; outline: none !important;\" id=\"isPasted\">Fluency in English and Spanish.</li></ul><p style='box-sizing: inherit; margin: 0px 0px 1em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 14px !important; line-height: 1.5; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><br></p><p style='box-sizing: inherit; margin: 0px 0px 1em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-weight: 400; font-stretch: inherit; font-size: 14px !important; line-height: 1.5; font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-optical-sizing: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; vertical-align: baseline; outline: none !important; color: rgb(34, 34, 34); letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-size: 14px; font-family: tahoma, sans-serif;\"><strong><u>What set us apart:</u></strong></span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;' id=\"isPasted\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-size: 14px; font-family: tahoma, sans-serif;\">Join Solis Health Plans as a <strong><em>Member Services Representative (Bilingual in Spanish)</em></strong> and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. <strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\">Join us and be the difference!</strong></span></p><p style='--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-family: tahoma, sans-serif; font-size: 14px;\"><strong style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box; font-weight: 700;\"><span style=\"--tw-shadow: 0 0 #0000; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; box-sizing: border-box;\">&nbsp;</span></strong></span></p><p><br></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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}
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