Member Experience Specialist - Managed Care

Australia-Employment; Fresno (CA); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits package

Temp-to-hire with long-term potential

Mission-driven team environment

Community-focused organization

Job summary

Jobot is seeking a Field-based Member Experience & Retention Specialist to support member engagement across Fresno, Kings, and Madera Counties. This role focuses on resolving barriers to care, guiding members to resources, and ensuring a positive health plan experience.

The position combines field visits with in-office work in Fresno, offering competitive pay, comprehensive benefits, and long-term career potential within a mission-driven team.

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.

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 escalated 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

Healthcare experience

Customer service

Bilingual English/Spanish

Relationship-building

Problem-solving

Independent worker

Microsoft Office

Education

Bachelor's degree

Tools

EMR systems

Job description

Member Experience Specialist - Managed Care

$30 - $35 per hour | Fresno, CA | On-site | Consulting

Field-Based + In-Office Role | Competitive Weekly Pay + Benefits

A bit about us:

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?

• 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

Job Details

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 escalated 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.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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