Medicare Advantage Member Services Pro

BrightSpring Health Services; Evansville (IN); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Innovative and coordinated healthcare services

Job summary

BrightSpring Health Services is hiring a Health Plan Member Services Analyst in Evansville, IN. This role serves as the main contact for our member services, delivering exceptional service to vulnerable populations by addressing inquiries about benefits, enrollments, and grievances.

The ideal candidate will have at least 2 years experience in healthcare operations, strong communication skills, and a commitment to person-centered care. Join us as we strive to improve community health with innovative, coordinated healthcare services.

Qualifications

• Minimum of 2 years of experience in a healthcare member services role.
• Strong verbal and written communication skills.
• Ability to communicate complex benefit information in plain language.

Responsibilities

• Deliver exceptional service to address inquiries related to benefits and authorizations.
• Educate members on accessing plan services and requesting care.
• Process member grievances and appeals under Medicare Advantage regulations.

Skills

Communication skills

Empathy

CRM proficiency

Organizational skills

Attention to detail

Education

High school diploma or GED required

Associate's or Bachelor's degree in related field preferred

Tools

Microsoft Office Suite

CRM systems

Job description

BrightSpring Health Services is hiring a Health Plan Member Services Analyst in Evansville, IN. This role serves as the main contact for our member services, delivering exceptional service to vulnerable populations by addressing inquiries about benefits, enrollments, and grievances.

The ideal candidate will have at least 2 years experience in healthcare operations, strong communication skills, and a commitment to person-centered care. Join us as we strive to improve community health with innovative, coordinated healthcare services.