NEW JOB OPENING
PLAN SPONSOR SERVICE CONSULTANT
IN Remote, USA!

Required Education

• High School Diploma or Equivalent



Required Qualifications/Skills/Experience

• 1–2 years of experience working with members and/or providers

• Basic healthcare background

• Previous knowledge of provider networks

• Outbound call experience

• Proficiency in Microsoft Outlook, Excel, and Word



Plan Sponsor Service Consultant (PSSC) Overview

• Detail-oriented professional responsible for supporting Medicare PCP and CSNP processes within the PCP Enrollment Validation Team

• Conducts research across multiple systems, performs outbound calls, and processes provider updates for new and existing members

• Validates provider alignment to Medicare members and conducts outreach to obtain Verification of Chronic Condition

• Works in a high-paced environment with tight turnaround times while maintaining established quality metrics

• Provides member-centric customer service and collaborates with teammates, leadership, and other departments as needed

• Supports accurate and timely processing of provider and member information while contributing to the team’s commitment to excellent customer service



Job Duties

• Develop fixture and merchandise layouts that accurately reflect the required product mix based on store location and clientele

• Identify stores within a growing number of cluster definitions, including ethnicity, affluence, and geography, that ultimately drive automated product replenishment

• Independently prioritize and manage scheduled assignments to ensure on-time project completion

• Analyze, prioritize, and summarize data and compare findings to company standards to identify store-specific opportunities

• Interact with Regional Sales Managers to confirm store-specific analysis, including sales, competition, and ethnicity of clientele, to maximize individual store profit

• 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 costs to field management and project partners

• Work with the Construction team and outside vendor architects to develop innovative merchandising solutions for atypical store locations

• Perform multi-system research to support PCP and CSNP processes

• Make outbound calls and process provider updates for new and existing members

• Validate and align providers to Medicare members

• Conduct outreach to obtain Verification of Chronic Condition

• Meet the demands of a high-paced environment with tight turnaround times while maintaining quality metrics

• Provide excellent customer service to members

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**