Member Concierge Lead - Medicare Advantage

CommuniCare Health Services; Ohio; On-site; USD 22,000 - 33,000; Full time

Job summary

CommuniCare Health Services is seeking an I-SNP Member Concierge to deliver personalized, high-touch support to Medicare Advantage I-SNP members. You will serve as a trusted contact for members, families, facility staff, providers, and internal teams, helping members understand benefits and access plan resources.

The role focuses on building relationships, identifying barriers to care, coordinating solutions, and escalating concerns to licensed staff.

Qualifications

Responsibilities

• Member Engagement & Relationship Management: Serve as a dedicated point of contact for assigned I-SNP members.
• Member Engagement & Relationship Management: Build meaningful relationships with members and their families/caregivers.
• Member Engagement & Relationship Management: Conduct proactive outreach to promote engagement and satisfaction.
• Member Engagement & Relationship Management: Identify member needs, concerns, preferences, and barriers to care.
• Member Engagement & Relationship Management: Provide personalized assistance throughout the member’s health-plan journey.
• Member Engagement & Relationship Management: Promote member loyalty and retention through exceptional service.
• I-SNP & Medicare Advantage Education: Educate members about I-SNP benefits, services, resources, and care-management programs.
• I-SNP & Medicare Advantage Education: Explain how to access plan resources in a clear, easy-to-understand manner.
• I-SNP & Medicare Advantage Education: Assist members with navigating the health-care system.
• I-SNP & Medicare Advantage Education: Reinforce the role of the interdisciplinary care team and primary care providers.
• I-SNP & Medicare Advantage Education: Provide appropriate education regarding preventive services and available plan resources.
• Care Navigation & Coordination: Help members navigate appointments, providers, transportation resources, pharmacy services, and other plan-supported resources.
• Care Navigation & Coordination: Identify potential gaps or barriers and communicate concerns to the appropriate care team.
• Care Navigation & Coordination: Coordinate with Care Management, Clinical, Provider Relations, Member Services, and other departments.
• Care Navigation & Coordination: Escalate clinical concerns to appropriately licensed clinical staff.
• Care Navigation & Coordination: Follow up to ensure identified issues are addressed.
• Facility & Provider Partnership: Develop strong relationships with participating facilities and their leadership.
• Facility & Provider Partnership: Work collaboratively with facility staff to improve the member experience.
• Facility & Provider Partnership: Participate in facility visits, member events, educational sessions, and engagement activities.
• Facility & Provider Partnership: Identify trends or recurring member concerns and communicate them to

Job description

CommuniCare Health Services is seeking an I-SNP Member Concierge to deliver personalized, high-touch support to Medicare Advantage I-SNP members. You will serve as a trusted contact for members, families, facility staff, providers, and internal teams, helping members understand benefits and access plan resources.

The role focuses on building relationships, identifying barriers to care, coordinating solutions, and escalating concerns to licensed staff.