What will your job look like
The Ombudsman is MTMs designated member advocate responsible for investigating issues and working towards resolution for all members in the assigned region in accordance with client requirements and MTM policies and procedures. The Ombudsman partners with advocacy groups other local and State Ombudsman and providers while acting as a resource to assist members whose issues may exceed MTM contract requirements.
This role must reside in TX. Travel within the State is required.
What youll do :
- Identify and report systematic issues that leads to complaints and work to develop a solution
- Know and drive processes based on the contract requirements partnering with market leadership
- Attend meetings with advocacy groups on behalf of MTM
- Identify special advocacy groups and tribal organizations and provide company related educate on the benefits of a partnership
- Handle specialized trips and member interactions and escalation
- Determine which groups will be best utilized within the organization based on assigned market needs
- Determine outreach plan that their assigned market needs
- Host and manage Member Advisory Committee (MAC) meetings
- Participate in Transportation Advisory Committees (TACs) meetings
- Create market specific resources and presentations based on the needs of the market
- Participate in ride along with the member to determine appropriate service was provided
- Investigate and document all reported issues providing thorough and timely follow up
- Analyze data and present information to improve member experience
- Develop and Implement processes to improve member experience in coordination with on site and corporate stakeholders
- Document escalations and action plans in the appropriate intake systems
- Maintain an impacted member list and provide follow ups to ensure the members got to and from their appointments safely and on time
- Educate and provide members information on their rights
- Triage complaints submitted via fax voice mail or email
- Provide follow up contact to recipients per their request in regards to complaint resolution
- Use complaint data to recommend education and process improvement
- Proofread any data submitted to the state for escalated issues
- Monitor and report on members access to MTM as it relates to those with disabilities language barriers and technology
What youll need :
Experience Education & Certifications :
High school diploma or GED2 years experience in a role within Quality Management Health Care Social Work or member advocacy2 years experience in Customer ServiceExperience delivering presentations both in person and virtuallySkills :
Excellent communication skills with an emphasis on grammar and spellingA working knowledge of contractsAbility to tactfully question and obtain informationExcellent organizational and interpersonal skillsDemonstrated ability to manage multiple prioritiesAbility to handle confidential information in a professional mannerAbility to accomplish duties / tasks with little direct supervisionAbility to prioritize tasks and deadlinesExcellent presentation skillsAbility to problem solve and troubleshootAbility to communicate with all levels of employees as well as external customersAbility to build relationshipsAbility to use basic office equipmentProficient in Microsoft Office SuiteEven better if you have...
Some college preferredOmbudsman experience or certification strongly preferred (CO-OP)Whats in it for you :
Health and Life Insurance PlansDental and Vision Plans401(k) with a company matchPaid Time Off and Holiday PayMaternity / Paternity LeaveCasual Dress EnvironmentTuition ReimbursementMTM Perks Discount ProgramLeadership Mentoring OpportunitiesSalary Min : $55920
Salary Max : $60000
This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the jobs location. We offer competitive pay that varies based on individual skills experience and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more you are welcome to discuss this with us as you move through the selection process.
Equal Opportunity Employer : MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local State and Federal law. If you are in need of accommodations please contact MTMs People & Culture.
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Employment Type : Full-Time
Experience : years
Vacancy : 1