Member Support Representative

Centene Corporation; Utica (MI); Ibrido; USD 27.000 - 45.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work with remote, hybrid, or?

Descrizione del lavoro

Centene Corporation in Utica, NY is seeking a motivated outreach specialist to support Fidelis and Wellcare members. You will address inquiries, assist with enrollment across Medicaid, Medicare, and Fidelis Care products, and conduct outreach to educate members on Wellcare offerings.

Role requires knowledge of plans, exceptional customer service, and the ability to document interactions in Salesforce. Bilingual English/Spanish preferred; license requirements may apply.

Competenze

• High School Diploma or GED required.
• 1+ years marketing, sales or community relations experience in healthcare preferred.
• State license may be required per plan; US work authorization required.

Mansioni

• Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product.
• Assists members in accessing health care, transportation and other services as needed.
• Answers questions about Fidelis and Wellcare programs to maintain and grow membership.
• Documents all interactions in Salesforce and other systems.
• Gains knowledge of Fidelis Care products, including NYSOH, Medicaid Managed Care, and Medicare options.
• Performs outreach and follow-up calls to educate members on Wellcare products and liaises between members and departments.

Conoscenze

Medicare/Medicaid sales

Community outreach

Customer service (healthcare)

Bilingual: English/Spanish

Formazione

High School Diploma or GED

Descrizione del lavoro

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 Utica, NY area.

Bilingual; Spanish is highly preferred.

Experience with Medicare / Medicaid sales and community engagement is highly preferred.

• 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 Upon Hire required

Pay Range: $19.43 - $32.98 per hour

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 offers a comprehensive benefits package including:

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

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.

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