Member Advocate, Medicare Advantage

CommuniCare Advantage; Cleveland (OH); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Member Advocate to enhance the healthcare experience for its members. In this exciting remote role, you will engage with members and their families, navigating health plan benefits and ensuring they receive the right care at the right time. Your compassionate approach will empower vulnerable populations, making a significant impact in their lives. Join a team that values advocacy and personal connection, and help shape the future of healthcare in your community.

Qualifications

• 3+ years’ experience in healthcare, nursing home, or customer service.
• Strong understanding of CMS-regulated healthcare entities.

Responsibilities

• Engage directly with health plan members and families.
• Coordinate services to ensure members receive appropriate care.

Skills

Healthcare experience

Customer service

Interpersonal skills

Communication skills

Organizational skills

Relationship-building

Education

Four-year degree in healthcare or related field

6+ years of relevant work experience

Tools

Microsoft applications

Job description

Join to apply for the Member Advocate, Medicare Advantage role at CommuniCare Advantage.

CommuniCare Advantage, an Institutional Special Needs Medicare Advantage Plan (ISNP), is currently seeking a Member Advocate to establish an enthusiastic, customer-oriented presence throughout a designated territory. In this role, the ISNP Member Advocate will engage directly with our health plan members, their families, and care teams to promote and support proactive, appropriate care.

This is a remote position involving weekday travel during business hours, Monday-Friday, to assigned local long-term care facilities in the Cleveland, Ohio region.

Purpose / Belief Statement

Member Advocates are dedicated to assisting members with health plan benefit navigation and facility enrichment to enhance the healthcare experience. They personalize their approach to each member, coordinating services to ensure they receive the right care, at the right time, in the right place. Member Advocates empower members and families to maximize their ISNP benefits.

Our advocacy platform is about helping people find their voice—our members, peers, facilities, providers, and our company. Beyond clinical care, Member Advocacy makes us unique in serving our vulnerable populations.

Qualifications / Education Requirements

• Required: 3+ years’ experience in healthcare, nursing home, long-term care, geriatrics, social services, Medicare, insurance, advocacy, or customer service.
• Strong understanding of CMS-regulated healthcare entities and insurances.
• Compassionate, approachable demeanor.
• Strong interpersonal and relationship-building skills.
• Proficient in Windows-based and Microsoft applications.
• Excellent organizational and communication skills.
• Ability to work independently with minimal supervision.
• Ability to manage multiple relationships and priorities.
• Ability to travel throughout the designated local territory Monday-Friday during business hours.

Preferred:

• Four-year degree or 6+ years of relevant work experience in healthcare, social services, advocacy, or related fields.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Legal
• Industries: Hospitals and Healthcare