Specialist, Medicare Member Engagement-Bilingual-(Remote)-PST hours

Molina Healthcare; Long Beach (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare services provider is looking for a candidate to assist Medicare members with their plans in Long Beach, California. Responsibilities include outreach to members, onboarding support, and participation in engagement workgroups. The ideal candidate should have customer service experience, excellent communication skills, and a general understanding of Medicare. Bilingual (Spanish) skills are a plus.

Benefits

Competitive benefits and compensation package

Opportunity for career advancement

Supportive work environment

Qualifications

• Minimum of 2 years of experience in customer service or healthcare.
• Excellent written and verbal communication skills.
• Basic understanding of managed healthcare systems.

Responsibilities

• Conduct direct outreach to new Medicare members.
• Address plan questions during the onboarding process.
• Log member contacts for accurate record-keeping.
• Participate in member engagement work groups.
• Attend member benefits training for role enhancement.

Skills

Customer service experience

Effective communication

Understanding of Medicare

Bilingual (Spanish)

Education

High School diploma

Associate's or Bachelor's Degree in related field

Job description

Overview

Employer Industry: Healthcare Services

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

Why consider this job opportunity

• Opportunity for career advancement and growth within the organization
• Competitive benefits and compensation package
• Chance to make a positive impact on member engagement and retention
• Supportive and collaborative work environment
• Bilingual (Spanish) skills are a plus and valued

What to Expect (Job Responsibilities)

• Conduct direct outreach to new Medicare members to assist with their MAPD, DSNP, and MMP plans
• Serve as a navigator during the onboarding process, addressing plan questions and anticipating member needs
• Log all member contacts in a database to ensure accurate record-keeping
• Participate in member engagement work groups to anticipate and address Medicare member needs
• Attend regular member benefits training to enhance knowledge of the member advocate role

What is Required (Qualifications)

• High School diploma
• Minimum of 2 years of experience in customer service, consumer advocacy, or healthcare systems
• Excellent written and verbal communication skills for collaboration with members, providers, and team members
• Basic understanding of managed healthcare systems and Medicare
• Experience conducting intake, interviews, and/or research of consumer or provider issues

How to Stand Out (Preferred Qualifications)

• Associate's or Bachelor's Degree in Social Work, Human Services, or a related field
• Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP

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