Member Experience Specialist - Managed Care

LeoForce; Fresno (CA); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits package

Temp-to-hire opportunity

Job summary

LeoForce seeks a Member Experience & Retention Specialist to support member engagement, satisfaction, and retention throughout Fresno, Kings, and Madera Counties. The role is field-based with some in-office time in Fresno, traveling as needed to serve members and collaborate with providers and community partners.

Responsibilities include resolving barriers to care, guiding members through services, and collecting data for leadership.

Qualifications

• Bachelor's degree preferred; relevant professional experience may be considered in lieu of a degree.
• Experience in healthcare, insurance, managed care, member services, patient experience, customer service, or community outreach.
• Strong communication, relationship-building, and problem-solving skills.
• Comfortable working independently and managing multiple priorities.
• Proficiency with Microsoft Office and electronic systems.
• Bilingual English/Spanish strongly preferred.
• Reliable transportation and willingness to travel throughout Fresno, Kings, and Madera Counties.

Responsibilities

• Build trusted relationships with members and assist with resolving healthcare-related concerns.
• Help members navigate healthcare services, benefits, appointments, and available community resources.
• Conduct outreach to current, former, and newly enrolled members.
• Support member satisfaction, engagement, and retention initiatives.
• Collaborate with healthcare providers, community organizations, and internal departments to remove barriers to care.
• Document member interactions and appropriately elevate complex issues when needed.
• Participate in community outreach events, focus groups, and member engagement activities.
• Prepare monthly activity summaries and reports for leadership.
• Maintain compliance with HIPAA and organizational policies.

Skills

Strong communication

Relationship-building

Problem-solving

Independent worker

Multitasking

Education

Bachelor's degree preferred

Tools

Microsoft Office

Electronic systems

Job description

Member Experience Specialist - Managed Care

6931268

Location: Fresno,CA, US

Date Posted: 09-23-2026

Member Experience Specialist - Managed Care

Fresno,CA, US

6931268

Job Description

Experience: Mid Level
Salary: $30 - $35 per hour
Job Details
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We are seeking a Member Experience & Retention Specialist to support member engagement, satisfaction, and retention initiatives throughout Fresno, Kings, and Madera Counties. This opportunity serves as a trusted resource for members by helping resolve barriers to care, connecting individuals with available resources, addressing concerns, and ensuring members have a positive experience with their health plan.
This is a field-based role supporting members throughout the service area. Travel will be driven by member needs. When not meeting with members or traveling within the community, the individual will work from the Fresno office.
Responsibilities:

• Build trusted relationships with members and assist with resolving healthcare-related concerns.
• Help members navigate healthcare services, benefits, appointments, and available community resources.
• Conduct outreach to current, former, and newly enrolled members.
• Support member satisfaction, engagement, and retention initiatives.
• Collaborate with healthcare providers, community organizations, and internal departments to remove barriers to care.
• Document member interactions and appropriately elevate complex issues when needed.
• Participate in community outreach events, focus groups, and member engagement activities.
• Prepare monthly activity summaries and reports for leadership.
• Maintain compliance with HIPAA and organizational policies.

Qualifications:

• Bachelor's degree preferred; relevant professional experience may be considered in lieu of a degree.
• Experience in healthcare, insurance, managed care, member services, patient experience, customer service, or community outreach.
• Strong communication, relationship-building, and problem-solving skills.
• Comfortable working independently and managing multiple priorities.
• Proficiency with Microsoft Office and electronic systems.
• Bilingual English/Spanish strongly preferred.
• Reliable transportation and willingness to travel throughout Fresno, Kings, and Madera Counties.

A bit about us:
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A respected managed care organization dedicated to improving healthcare outcomes through quality-driven programs, member-focused services, and collaborative partnerships across Central California. Committed to regulatory excellence and advancing the health of the communities it serves.
Job Title: Member Experience & Retention Specialist
Compensation: $30 - $35/hour ($60k - $75k/year), depending on experience
Location: Fresno, CA (Field-Based + In-Office)
Service Area: Fresno, Kings, and Madera Counties
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Type: Contract-to-hire (strong potential for permanent hire)
Why join us:
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• Competitive compensation
• Comprehensive benefits package
• Temp-to-hire opportunity with long-term career potential
• Meaningful work supporting underserved communities throughout the Central Valley
• Opportunity to improve healthcare access and member outcomes
• Collaborative and mission-driven team environment
• Community-focused organization with strong local partnerships

#healthcare #hipaa #customer-service #community-outreach #case-management #customer-retention #managed-care #population-health #conflict-resolution #member-advocacy #care-coordination #community-engagement #patient-experience #health-education #patient-navigation #member-services #patient-relations #tier4