Member Care Advocate & Facility Liaison

American Health Plans; Columbus (IN); On-site; USD 45,000 - 65,000; Full time

Job summary

American Health Advantage seeks a customer-service focused leader to support local service areas as a Member Advocate. You will coordinate with Insurance Producers after enrollment to ensure smooth transitions and ongoing support to members and families.

You will serve as front-line contact, maintain relationships with network providers, meet with members monthly, track issues, and ensure CMS compliance while guiding facilities within your region.

Qualifications

• Experience in healthcare delivery with elderly patients, caregiver or similar role.
• Ability to work independently and with a team, and listen to family feedback.
• Ability to coordinate with nursing homes, doctors, and administration staff.
• Strong customer-service orientation with CMS regulations compliance.
• Excellent organizational and communication abilities.
• Must be able to travel to facilities within assigned region; valid driver's license and insurance.
• Insurance or Insurance Customer Service license preferred but not required.

Responsibilities

• Coordinate with Insurance Producer after enrollment to ensure smooth transitions.
• Follow up with members to answer questions and provide plan updates.
• Serve as front-line contact for members, families, and care teams.
• Build and maintain relationships with network providers within the region.
• Meet with members and families at least monthly.
• Track and report on member status, calendars, and issues.
• Ensure all member interactions comply with CMS regulations.

Skills

Interpersonal skills

Communication skills

Customer service

Organizational skills

Problem solving

Education

Associates or better

Tools

Microsoft Office

Job description

American Health Advantage seeks a customer-service focused leader to support local service areas as a Member Advocate. You will coordinate with Insurance Producers after enrollment to ensure smooth transitions and ongoing support to members and families.

You will serve as front-line contact, maintain relationships with network providers, meet with members monthly, track issues, and ensure CMS compliance while guiding facilities within your region.