Dual Eligible Engagement Specialist

Centene; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Centene is seeking a Remote Engagement Specialist for Medicare, focused on a panel of dual-eligible beneficiaries. You will drive enrollment, onboarding, and ongoing member engagement while coordinating with internal and external partners.

Responsibilities include outreach via calls, home visits, and community events; educate on Medicare/ Medicaid coordination; assist with access to services; maintain compliant documentation and participate in health-improvement initiatives.

Qualifications

• High School Diploma or GED required.
• 2+ years of experience in Medicare/Medicaid or dual-eligible populations.

Responsibilities

• Manage an assigned panel of dual-eligible members and develop engagement plans.
• Conduct outreach via phone, in-home visits, community events, and other activities.
• Educate members on Medicare/Medicaid coordination and D-SNP benefits.
• Facilitate enrollment, benefit discussions, and required disclosures per CMS regulations.
• Serve as initial contact for newly enrolled members and address early barriers to access.
• Promote participation in health improvement programs and drive quality outcomes.
• Collaborate with internal teams, providers, and community organizations to coordinate resources.
• Maintain accurate documentation of interactions and outcomes.
• Complete required certifications and training.

Skills

Medicare sales

Member engagement

Care coordination

Community outreach

Bilingual

Education

High School Diploma

Job description

Remote

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.

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

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

About Centene:

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.