Remote Dual-Eligible Engagement Specialist

Centene Corp.; Philadelphia (Philadelphia County); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Centene Corp. seeks a Dual Eligible Engagement Specialist to manage outreach and enrollment for a panel of dual-eligible Medicare beneficiaries. The role emphasizes engagement planning, onboarding, and ongoing member retention.

Responsibilities include outreach via phone, in-home visits, community events, and coordination with partners to improve access, satisfaction, and health outcomes while ensuring CMS compliance.

Qualifications

• High School Diploma or GED, or equivalent required.
• 2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination required.
• Bilingual (Spanish or other relevant languages) preferred.

Responsibilities

• Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status and individual needs while supporting onboarding, retention, and ongoing engagement.
• Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships.
• Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources.
• Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations.
• Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention.
• Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being.
• Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement.
• Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements.
• Complete required certifications and training programs.
• Performs other duties as assigned.
• Complies with all policies and standards

Skills

Medicare experience

Member engagement

Community relations

Bilingual (Spanish)

Education

High School Diploma or GED

Job description

Centene Corp. seeks a Dual Eligible Engagement Specialist to manage outreach and enrollment for a panel of dual-eligible Medicare beneficiaries. The role emphasizes engagement planning, onboarding, and ongoing member retention.

Responsibilities include outreach via phone, in-home visits, community events, and coordination with partners to improve access, satisfaction, and health outcomes while ensuring CMS compliance.