Member/Provider Care Specialist

Western New York Integrated Care Collaborative, Inc.; Buffalo (NY); On-site; USD 28,000 - 32,000; Full time

Job summary

Centivo in Buffalo, NY seeks a Member Care Specialist for an on-site role to support members and provider partners with benefits, eligibility, and claims inquiries. Training begins Oct 19, 2026, with a paid program starting June 1, 2026; hourly wages start at $20–$23 depending on experience, with Monday–Friday schedule in the Buffalo office.

Your role involves inbound calls, research, and educating on benefits and navigation of Centivo tools. Join a mission-driven team making healthcare better.

Qualifications

• High school diploma or GED.
• Some computer skills.
• Familiarity with Microsoft Windows and Office applications (Outlook, Word, Excel).
• Ability to learn other proprietary computer systems quickly.
• Excellent written and verbal communication; attention to detail.
• Nice-to-have: fast-paced call center experience; prior claims or medical billing experience.

Responsibilities

• Accept inbound calls from members and providers on inquiries about benefits, eligibility, and claims.
• Research complex inquiries using tools, documentation, and outbound calls.
• Educate members and providers on benefits and navigation of Centivo site, tools, and applications.
• Document all interactions and ensure proper processes are followed with timely follow-up.
• De-escalate calls when necessary.
• Address first-level complaints and provide assistance on appeals as needed.

Skills

Communication skills

Problem-solving skills

Attention to detail

Call center experience (nice to have)

Education

High school diploma or GED

Tools

Microsoft Office

Proprietary systems

Job description

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Centivo is seeking Member Care Specialists to join our dynamic team. This is an in-person, on-site role based in our downtown Buffalo, NY office. In this role, you will play an important part in our mission by serving as a trusted resource and problem-solver for both members and provider partners. If you are purpose-driven, enjoy helping others, and thrive in a fast-paced environment, we would love to hear from you.

Our next paid training program begins Monday, October 19, 2026, making this a great time to apply.

What you’ll love about this role:

• Supporting members and healthcare providers with questions and service needs
• Solving complex issues with empathy, resourcefulness, and care
• Educating members and providers on benefits, tools, and navigation of our site and applications
• Being part of a team that is improving the healthcare experience in a meaningful way

Prior customer service experience in health insurance is a plus, but not required as we provide a paid training program scheduled to start Monday, June1, 2026, Monday to Friday in the Buffalo office.

A career in healthcare needs to begin somewhere and we believe this is a great place to kick it off (and grow) with an hourly rate starting at $20 (up to $23 depending on prior experience).

If you think you’d like:

• Supporting members and health care providers on inquiries
• Researching and solving complex problems
• Educating members and health care providers on benefits and navigation of our site
• Disrupting the healthcare system

you might be our next Member Care Specialist!

Still reading? Here is more about the opportunity.

What you’ll do:

• Accept inbound calls from members and providers on inquiries pertaining to benefits, eligibility, and claims
• Research complex inquiries by use of tools, documentation, and outbound calls
• Educate members and providers on the benefits and navigation of Centivo site, tools, and applications
• Document all interactions and ensure proper processes/procedures are followed and follow-up action is taken
• De-escalate calls when necessary
• Address first-level complaints and provide assistance on appeals as needed;

You should have:

• High school diploma or GED
• Some computer skills
• Familiarity with the Microsoft operating system and their suite of applications (Outlook, Word, Excel)
• And can quickly learn other proprietary computer systems
• Ability to communicate professionally, both written and verbal
• Attention to detail
• Problem-solving skills
• These are not required, but would be nice to have:
  • Fast-paced call center experience
  • Previous claims experience and/or medical billing experience

Location:

This role is an in-person located in our downtown Buffalo, NY office.

Centivo is having an on-site hiring event to fill multiple Member/Provider Care Specialist positions!

Wednesday September 16th, 2026 at 4:00 pm-7:00 pm.

Location: Our Buffalo office at The Fairmont Creamery 199 Scott Street Buffalo, NY 14204.

We’ll be conducting our entire recruiting process on-site, including a brief assessment, so come prepared to interview and showcase your skills! Full Recruiting Process in Under 2 Hours! Computer Assessment, Interview, Finalist Chat & References