Dual Eligible Engagement Specialist

Centene Corporation; Pennsylvania; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is seeking a Medicare engagement professional to manage dual-eligible member panels, drive onboarding and ongoing engagement, and coordinate with partners. The role requires travel, occasional weekends, and alignment with CMS regulations to enhance access and outcomes.

Experience in Medicare sales or related member engagement is highly preferred, with strong communication and community outreach skills to support education and enrollment efforts within the greater Philadelphia

Qualifications

• High School Diploma or GED required, with 2+ years Medicare/Medicaid related experience.
• Bilingual (Spanish or other relevant languages) preferred.
• State Accident & Health Insurance license upon hire; valid driver's license upon hire.

Responsibilities

• Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status, readiness, market priorities, and individual needs while supporting onboarding, retention, and ongoing member engagement.
• Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships.
• Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources.
• Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations.
• Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention.
• Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being.
• Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement.
• Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements.
• Complete required certifications and training programs.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Medicare sales

Member engagement

Communication skills

Community outreach

Bilingual preferred

Education

High School Diploma or GED

Tools

Driver's license

Accident & Health Insurance license

Job description

Position Purpose: Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries and serve as the primary engagement owner responsible for driving conversion, onboarding, early member retention, and ongoing engagement. Serves as a dual-eligible subject matter expert, coordinating with internal and external partners to improve member alignment, engagement, quality outcomes, and retention.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Candidate must reside in the greater Philadelphia or Pittsburg area.

Candidate will need to be ok with travel and working some weekends.

Experience with Medicare sales is highly preferred.

• Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status, readiness, market priorities, and individual needs while supporting onboarding, retention, and ongoing member engagement
• Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships
• Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources
• Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations
• Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention
• Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being
• Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement
• Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements
• Complete required certifications and training programs
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: High School Diploma or GED, or equivalent required 2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination required. Experience working with underserved or dual-eligible populations preferred. Bilingual (Spanish or other relevant languages) preferred.
Licenses/Certifications:
State Accident & Health Insurance Upon Hire required
Current state driver's license Upon Hire required

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act