Member Care Navigator

Centivo Corporation; Buffalo (NY); On-site; USD 38,000 - 54,000; Full time

Job summary

Centivo Corporation is hiring on-site in Buffalo, NY for Member Care Specialists who will serve as trusted resources for members and provider partners. The role focuses on benefits, navigation, and issue resolution in a fast-paced environment.

Training starts Monday, October 12, 2026, making this a great time to apply. You will handle calls, educate on platform tools, document interactions, and support appeals with empathy and accuracy, contributing to Centivo's mission to improve the healthcare

Qualifications

• High school diploma or GED.
• 1–2 years of experience in a provider office, healthcare setting, and/or fast-paced call center environment.
• Bilingual in Spanish and English preferred.

Responsibilities

• Answer incoming calls from members and providers regarding benefits, eligibility, and claims.
• Research and resolve complex issues using internal tools, documentation, and outbound outreach.
• Educate members and providers on platform navigation, benefits, and available resources.
• Accurately document each interaction and follow established procedures.
• De-escalate concerns and handle first-level complaints with professionalism and empathy.
• Support appeals processes and ensure timely follow-up actions are completed.

Skills

Microsoft Office

Communication

Attention to detail

Calm under pressure

Education

High school diploma or GED

Job description

Centivo Corporation is hiring on-site in Buffalo, NY for Member Care Specialists who will serve as trusted resources for members and provider partners. The role focuses on benefits, navigation, and issue resolution in a fast-paced environment.

Training starts Monday, October 12, 2026, making this a great time to apply. You will handle calls, educate on platform tools, document interactions, and support appeals with empathy and accuracy, contributing to Centivo's mission to improve the healthcare