Member Advocate & Field Care Coordinator

American Health Plans; Odessa (TX); Hybrid; USD 42,000 - 56,000; Full time

Job summary

The Member Advocate role focuses on customer service while supporting local service areas. You will work from home, visiting nursing facilities within a defined region to assist members and Plan, building strong relationships with staff and providers.

You will travel to facilities, perform monthly member contacts, document activities, and ensure CMS compliance. This position emphasizes teamwork, reliability, and a strong commitment to service quality.

Qualifications

• Education: Associate's degree preferred.
• Experience in a healthcare delivery setting with elderly patients preferred.
• State driver's license required.
• Willingness to travel to facilities within the assigned region.
• Have a suitable home workspace for productive work.
• CMS regulations compliance training related to Medicare Advantage.

Responsibilities

• Welcome new members according to Plan processes.
• Visit or contact assigned members at least monthly.
• Develop and maintain relationships with network providers and nursing home staff.
• Sponsor or assist at least one group activity annually at each facility.
• Coordinate facility visits and ensure coverage with the team.
• Document all activities as required.
• Follow up on member dissatisfaction and report to Plan.
• Ensure interactions comply with CMS regulations.
• Attend meetings as necessary.
• Other responsibilities as assigned.

Skills

Interpersonal skills

Customer service

Organization

Communication

Independent work

Travel willingness

Attention to detail

Problem solving

Education

Associate's degree preferred

State driver's license

Tools

Microsoft Office

Office equipment

Job description

The Member Advocate role focuses on customer service while supporting local service areas. You will work from home, visiting nursing facilities within a defined region to assist members and Plan, building strong relationships with staff and providers.

You will travel to facilities, perform monthly member contacts, document activities, and ensure CMS compliance. This position emphasizes teamwork, reliability, and a strong commitment to service quality.