Medicare Membership Retention Specialist

Centene Management Company LLC; New York (NY); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene is seeking a Field Retention Representative in New York to retain current membership across assigned territories. The role includes telephonic and field outreach, community events, and home visits to explain Wellcare products while complying with regulatory policies.

Responsibilities include membership resolution, needs-based analysis, and documenting interactions in Salesforce and Facets. Travel, some weekend work, and flexible schedules are required.

Qualifications

• High School Diploma or GED is required.
• Minimum 1 year health care related experience preferred.
• Minimum 1 year of customer service or sales experience preferred.
• Driver’s License may be required by some plans.
• Specific language skills may be required by some plans.

Responsibilities

• Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility.
• Answer application and/or service questions regarding the programs and services to maintain/attract membership.
• Conduct outreach and follow up calls to educate members about Wellcare products and serves as a liaison between the member and the different Wellcare departments.
• Document all interactions in the appropriate system and ensure member accounts reflect activities performed.

Job description

Centene is seeking a Field Retention Representative in New York to retain current membership across assigned territories. The role includes telephonic and field outreach, community events, and home visits to explain Wellcare products while complying with regulatory policies.

Responsibilities include membership resolution, needs-based analysis, and documenting interactions in Salesforce and Facets. Travel, some weekend work, and flexible schedules are required.