Member Services Representative

AIDS Healthcare Foundation Amazing individuals working for positive people at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF's core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for What's Right Please review our Advocacy page for the latest news on how AHF is Fighting for What's Right! Advocacy News. Benefits at AHF AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health. Still interested? Please continue! Your Contribution to Our Success! A Member Services Representative contributes to AHF by connecting his/her daily activities to the organization's mission and core values by providing a positive experience to members, prospective members, providers and internal staff. A Member Services Representative enhances the reputation of AHF by adherence and actively practicing teamwork, collaboration, and advocacy for our members. Responsible for efficiently managing member services, they strive to provide exceptional support to ensure high levels of member satisfaction. This includes tasks such as processing PHP and PHC enrollments, effectively operating the call center by promptly answering member and provider calls, maintaining up-to-date knowledge of PHP and PHC health plan benefits and eligibility, as well as providing and ensuring accuracy of member benefit information. In addition, the member services representative handles complaint and grievance management with empathy and professionalism, resolving issues in a timely manner. They ensure that all materials, such as enrollment packets and benefit information, are delivered to members promptly. Furthermore, they provide updates on claims to providers, keeping them informed about claim status. It is also important for the representative to stay current on regulatory compliance metrics for CMS/DHCS and DMHC requirements, ensuring all member services practices adhere to regulatory standards. Additional duties may include providing pharmacy technical support and assisting with other tasks as needed to support the overall functions of the Member Services department. You will be a passionate advocate for our top initiatives. To be successful as a Member Services Representative it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The Member Services Representative will work as a part of a close-knit team to description AHF Commitment We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

Created: 2026-03-12