Member Support Representative

Centene Management Company LLC; Orlando (FL); Hybrid; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible schedules

Job summary

Centene in Orlando is seeking a bilingual enrollment specialist to support Fidelis Care and Wellcare members, guiding enrollment and answering inquiries across Medicaid, Medicare and related products. Strong product knowledge and consultative selling are essential for member satisfaction and retention.

You will conduct outreach, document interactions in Salesforce, and collaborate with multiple departments to educate members on plan options and eligibility. A flexible schedule may be required.

Qualifications

• 1+ years marketing, sales or community relations experience, customer service including healthcare preferred.
• Bilingual English/Spanish/Cantonese or Mandarin preferred.
• State Accident and Health Insurance Agent License within 60 Days required.
• Current state driver's license required.

Responsibilities

• Understands the covered benefits, non-covered benefits, exclusions and exemptions.
• Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product.
• Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members.
• Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership.
• Documents all interactions in Salesforce and other relevant systems.
• Gains and maintains knowledge of Fidelis Care products, including NYSOH, Medicaid MC, Child Health Plus, Medicare, MLTC, FIDA, and HARP.
• Attends sales meetings, training programs, conventions, and special events.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Bilingual (Eng/Span/Chin)

Sales experience

Customer service

Communication skills

Education

High School Diploma / GED

State Insurance Agent License within 60 days

Driver's license

Tools

Salesforce

Job description

Position Purpose

Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.

Key Details

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
• Candidate must reside in the greater Orlando area.
• Bilingual; Spanish is highly preferred.
• Experience with Medicare / Medicaid sales and community engagement is highly preferred.

Responsibilities

• Understands the covered benefits, non-covered benefits, exclusions and exemptions.
• Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product.
• Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members.
• Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership.
• Researches, analyzes, and documents member inquiries regarding program eligibility.
• Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments.
• Accurately documents all interactions in Salesforce and other relevant systems.
• Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP.
• Attends and participates in sales meetings, training programs, conventions, and special events.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education / Experience

• High School Diploma , GED or equivalent required
• 1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required
• Bilingual English/Spanish/Cantonese or Mandarin preferred: Specific language skills by some plans may be required
• State Accident and Health Insurance Agent License within 60 Days required
• Current state driver's license

Pay Range

$19.43 - $32.98 per hour

About Centene

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• and a flexible approach to work with remote, hybrid, field or office work schedules.

Pay Information

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Opportunity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.