Dual-Eligible Medicare Engagement Lead

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

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