Member Advocate, West Virginia Senior Advantage

CommuniCare Health Services; Martinsburg (WV); Remote; USD 45,000 - 65,000; Full time

Job summary

A prominent healthcare organization in West Virginia is seeking a Member Advocate to enhance the healthcare experience for seniors. The role involves engaging directly with members to provide support in navigating health plan benefits and facilitating necessary care. Ideal candidates are compassionate, dedicated professionals with experience in customer service or healthcare advocacy, capable of building strong relationships within the community.

Benefits

Life Insurance

Medical, Dental, and Vision with Flexible Spending Accounts

401(k) Employer Match

Qualifications

• 3+ years’ experience in relevant fields such as nursing home or advocacy.
• Strong comprehension of healthcare entities and insurances.
• Dynamic and compassionate demeanor.

Responsibilities

• Establish a customer-oriented presence to assist health plan members.
• Promote proactive care and support for members and families.
• Manage relationships and travel to local facilities.

Skills

Customer service

Communication

Organizational skills

Interpersonal skills

Education

Four-year degree or higher

Tools

Microsoft applications

Job description

Member Advocate, West Virginia Senior Advantage

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Member Advocate, West Virginia Senior Advantage

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Member Advocate, Medicare Advantage CommuniCare Corporate

West Virginia Senior 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 exciting role, the ISNP Member Advocate will be engaged directly with our health plan members, their families and individualized care teams in an effort to promote and support proactive, appropriate care.

Member Advocate, Medicare Advantage CommuniCare Corporate

West Virginia Senior 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 exciting role, the ISNP Member Advocate will be engaged directly with our health plan members, their families and individualized care teams in an effort to promote and support proactive, appropriate care.

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

PURPOSE / BELIEF STATEMENT

Member Advocates are dedicated to assisting our members with health plan benefit navigation as well as facility enrichment to maximize the healthcare experience. Member Advocates will personalize their approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members and families in maximizing their ISNP benefits.

Our ISNP advocacy platform is about helping people find their voice—our members, our peers, our facilities, our providers, our company. Beyond the robust ISNP clinical model of care, Member Advocacy makes us unique to the frail and vulnerable population that we serve.

What We Offer

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:

• Life Insurance
• LTD/STD
• Medical, Dental, and Vision with Flexible Spending Accounts
• 401(k) Employer Match
  
  

Required

QUALIFICATIONS / EDUCATION REQUIREMENTS

• 3+ years’ experience in nursing home, long-term care, geriatrics, special needs, social services, Medicare, Medicaid, insurance, advocacy, or customer service
• Strong comprehension of CMS regulated healthcare entities and insurances
• Dynamic, compassionate, approachable demeanor
• Zeal for connecting with people and building trustworthy relationships
• Proficient computer skills with Windows-based and Microsoft applications
• Ability to demonstrate advanced organizational and communication skills
• Ability to function independently and responsibly with minimal need for supervision
• Ability to develop and manage relationships, as well as multiple priorities
• Ability to travel throughout the designated local territory Monday-Friday during business hours
  
  

Preferred

• Four-year degree or higher, and/or 5+years equivalent work experience in healthcare, nursing home/long-term care social services or recreation/activities, advocacy, healthcare customer service, or other closely related special needs industry

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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