Dual Eligible Engagement Specialist

Centene Management Company LLC; Pennsylvania; Hybrid; USD 65,000 - 80,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off & holidays

Flexible work schedules

Job summary

Centene Management Company LLC in the greater Philadelphia or Pittsburgh area is seeking a dedicated Medicare Engagement Specialist to manage an assigned panel of dual-eligible beneficiaries and drive onboarding, engagement, and retention.

The role requires travel, some weekend work, and strong CMS regulatory knowledge. Experience with Medicare sales is highly preferred and bilingual abilities are a plus.

Qualifications

• Must have at least a High School Diploma or GED.
• 2+ years of experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination.
• Experience with underserved or dual-eligible populations preferred.
• Bilingual (Spanish or other relevant languages) preferred.

Responsibilities

• Manage an assigned panel of dual-eligible Medicare beneficiaries and act as the primary engagement owner for conversion, onboarding, early retention and ongoing engagement.
• Conduct outreach via phone, in-home visits, community events, and other activities to build member relationships.
• Educate members on Medicare/Medicaid coordination, D-SNP benefits, and available resources.
• Facilitate enrollment, benefit discussions, applications, and disclosures in line with CMS regulations.
• Serve as initial point of contact for newly enrolled members and address early barriers to care access and service utilization.
• Promote participation in health improvement programs and coordinate with internal teams and external partners to improve engagement and outcomes.
• Maintain accurate documentation of member interactions and required disclosures; complete required certifications and training.

Skills

Medicare knowledge

Engagement planning

Communication

Bilingual preferred

Education

High School Diploma or GED

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.

Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email [e-mail]. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.