Member Experience Guide

SHPCA SCAN Health Plan; California; Hybrid; USD 28,000 - 34,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO

401(k) with employer match

Tuition reimbursement

Remote work

Paid holidays

Job summary

SCAN Health Plan is seeking a remote Member Experience Guide to serve as a trusted partner for our members, guiding inquiries to resolution with empathy and accountability. You will own interactions from inquiry to resolution, prioritizing member needs and delivering clear, actionable guidance.

The role emphasizes a Champion’s Mindset, problem solving, and a commitment to excellence to reduce member effort and build long-term loyalty. Competitive pay and strong benefits accompany the position.

Qualifications

• 1+ years of customer service experience in a contact center, healthcare, hospitality, or service-oriented environment.
• Required: English (Read, Write, Spoken)

Responsibilities

• Build trust through active listening and prioritizing the member’s needs in every interaction.
• Take full accountability for resolving inquiries, requests, and concerns, navigating systems and teams to achieve first-call resolution when possible.
• Translate benefits, claims, and processes into simple, actionable guidance for members.
• Persist through complex situations and escalate when needed to ensure resolution.
• Take ownership with clear communication and follow-up to ensure closure.

Skills

Customer service

English proficiency

Education

High School Diploma or Equivalent

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors". Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

Member Experience Guide Location: Remote Locations (AZ, NV, TX, WA)

The job

The Member Experience Guide serves as a trusted partner to our members, owning each interaction from inquiry to resolution with empathy, clarity, and accountability. Guided by a deep sense of Member Obsession, this role puts members first in every decision, ensuring their needs are understood, prioritized, and resolved with urgency and care. Member Experience Guides embrace a Champion’s Mindset, welcoming challenges and persevering until the best possible outcome is achieved. Through courageous problem-solving and a commitment to excellence, this role reduces member effort, strengthens trust, and delivers meaningful experiences that build long-term loyalty.

• Build trust through active listening, acknowledging emotions, and demonstrating Member Obsession by prioritizing the member’s needs in every interaction.
• Take full accountability for resolving inquiries, requests, and concerns, navigating systems and teams with a Champion’s Mindset to achieve first-call resolution whenever possible.
• Apply critical thinking and Courageous Challenge by seeking solutions beyond the obvious and addressing barriers directly to meet member needs.
• Translate benefits, claims, and processes into simple, actionable guidance, ensuring members feel supported and informed.
• Persist through complex or ambiguous situations, exhausting available resources before escalating and maintaining focus until resolution is achieved.
• Take ownership with Resolve, set expectations and ensure closure through proactive communication and follow-up.
• Use Courageous Challenge to raise concerns, identify process gaps, and advocate for improvements that enhance the member experience.
• Embrace Responsible Disruption by identifying opportunities to improve workflows, reduce friction, and enhance service delivery.
• Demonstrate Relentless Leadership in everyday actions by consistently delivering high-quality, empathetic, and effective service.

Your Qualifications

High School Diploma or Equivalent

Experience 1+ years of customer service experience in a contact center, healthcare, hospitality, or service-oriented environment

Experience resolving customer issues, managing multiple systems, and handling high-volume interactions

Required: English (Read, Write, Spoken)

Experience Preferred

Medicare Advantage, Medicaid, or healthcare experience

Experience in a provider office, medical group, hospital, or health plan

Hospitality or high-touch service experience

Caregiving experience demonstrating compassion and advocacy

Preferred: Fluency in one or more of the following languages in addition to English:

• o Spanish
• o Cantonese
• o Mandarin
• o Korean
• o Vietnamese

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

What's in it for you?

• Base Hourly Pay Rate: $20.00
• Work Mode: Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)- 8 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity andAffirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

#LI-JR1 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41CFR 60-1.35(c)

Become part of a mission-driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.

Why consider a career at SCAN?

• A competitive compensation and benefits program;
• An annual employee bonus program;
• Generous paid-time-off (PTO);
• Eleven paid holidays per year;
• Excellent Retirement Savings program;
• A work-life balance;
• and An opportunity to become part of a team that makes a difference to our members and our community every day!