Ombudsman

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Job Overview

The Ombudsman position at MTM is designed for individuals who are passionate about advocacy and supporting members in need. As the designated member advocate, the Ombudsman is tasked with investigating various issues and working towards resolutions for all members within a specified region, adhering strictly to client requirements and MTM's established policies and procedures. This role is instrumental in ensuring that the members' interests are represented and appropriately addressed.

Responsibilities

The role of the Ombudsman involves a comprehensive set of responsibilities aimed at enhancing member experience and ensuring compliance with contractual obligations. Below, we outline the primary tasks expected from the incumbent:

• Identify and report systematic issues that lead to complaints and collaborate on developing solutions.

• Drive processes based on contract requirements, working closely with market leadership to ensure alignment with overall goals.

• Attend meetings with advocacy groups representing MTM, establishing a communication channel on behalf of the organization.

• Identify advocacy groups and tribal organizations that can collaborate with MTM, educating them about partnership benefits.

• Manage specialized trips and member interactions, providing escalation support when necessary.

• Determine outreach plans based on market needs, ensuring that efforts are targeted and effective.

• Host Member Advisory Committee (MAC) meetings to gather feedback and improve member engagement.

• Investigate and document all reported issues, providing timely follow-ups to address member concerns effectively.

• Analyze data pertaining to member experiences, presenting findings that contribute to continuous improvement.

• Develop and implement processes to enhance member satisfaction in coordination with onsite and corporate stakeholders.

• Monitor and report on members' access to MTM services, especially regarding those with disabilities and language barriers.

Required Skills and Qualifications

Candidates looking to apply for this role should possess a robust set of skills and relevant experience:

• A high school diploma or GED is essential. Candidates with higher education will be preferred but is not mandatory.

• A minimum of 2 years of experience in Quality Management, Health Care, Social Work, or member advocacy is required. Additionally, 2 years of customer service experience are necessary.

• Excellent communication skills are vital, particularly with an emphasis on grammar, spelling, and the ability to present information effectively in both in-person and virtual settings.

  

• A working knowledge of contracts is necessary to navigate the complexities of member support effectively.

• Organizational skills and the ability to manage multiple priorities simultaneously are essential for success.

• Candidates must exhibit the ability to manage confidential information professionally and prioritize tasks to meet deadlines without direct supervision.

• Proficiency in Microsoft Office Suite is required to perform tasks efficiently.

Preferred Qualifications

While the essential qualifications are imperative, having the following preferences can enhance a candidate's suitability for the role:

• Some college education is preferred, which could indicate a deeper understanding of relevant subjects.

• Certification or experience as an Ombudsman (e.g., CO-OP certification) is strongly preferred, showing a commitment to this line of work.

Salary and Benefits

Compensation for the Ombudsman role at MTM is competitive, with a salary range outlined as follows:

• Minimum Salary: $55,920

• Maximum Salary: $60,000

This range reflects national market data for the position, and actual salaries may vary based on individual skills, experience, and relevant factors specifically associated with the job's location.

In addition to competitive salary packages, MTM offers significant benefits, including:

• Health and life insurance plans

• Dental and vision plans

• 401(k) plans with a company match

• Paid time off along with holiday pay

• Maternity and paternity leave

• A casual dress environment

• Tuition reimbursement programs

• Access to the MTM Perks Discount Program

• Leadership mentoring opportunities

Job Location and Contract Type

The Ombudsman position requires residency in Texas as travel within the State is mandatory. The contract type for this role is full-time, indicating a commitment to working with MTM on a long-term basis.

Conclusion

The Ombudsman position at MTM presents a remarkable opportunity for individuals passionate about advocacy and member support. By joining this team, candidates will not only contribute to improving member experiences but will also benefit from a competitive salary and extensive benefits, making it an attractive career option in the healthcare sector.

This job offer was originally published on himalayas.app