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The Ombudsman is MTM’s 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 you’ll 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 you’ll need:
Experience, Education & Certifications:
- High school diploma or GED
- 2+ years’ experience in a role within Quality Management, Health Care, Social Work or member advocacy
- 2 + years’ experience in Customer Service
- Experience delivering presentations both in person and virtually
Skills:
- Excellent communication skills, with an emphasis on grammar and spelling
- A working knowledge of contracts
- Ability to tactfully question and obtain information
- Excellent organizational and interpersonal skills
- Demonstrated ability to manage multiple priorities
- Ability to handle confidential information in a professional manner
- Ability to accomplish duties/tasks with little direct supervision
- Ability to prioritize tasks and deadlines
- Excellent presentation skills
- Ability to problem solve and troubleshoot
- Ability to communicate with all levels of employees as well as external customers
- Ability to build relationships
- Ability to use basic office equipment
- Proficient in Microsoft Office Suite
Even better if you have...
- Some college preferred
- Ombudsman experience or certification, strongly preferred (CO-OP)
What’s in it for you:
- Health and Life Insurance Plans
- Dental and Vision Plans
- 401(k) with a company match
- Paid Time Off and Holiday Pay
- Maternity/Paternity Leave
- \Casual Dress Environment
- Tuition Reimbursement
- MTM Perks Discount Program
- Leadership Mentoring Opportunities
Salary Min: $55,920
Salary Max: $60,000
This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's 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 MTM’s People & Culture.
