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Specialist, Medicare Member Engagement - Inbound (Remote in PST/Bilingual Preferred)

Molina Healthcare

Long Beach (CA)

Remote

USD 45,000 - 65,000

Full time

2 days ago
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Job summary

A leading healthcare services organization is seeking a Specialist for Medicare Member Engagement. This remote position focuses on improving member experiences by providing assistance with Medicare plans and addressing inquiries during the onboarding process. Ideal candidates will have a passion for member support and possess relevant experience in customer service or healthcare advocacy.

Benefits

Career advancement opportunities
Competitive benefits and compensation package
Supportive work environment

Qualifications

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

Responsibilities

  • Conduct outreach to assist new Medicare members with their plans.
  • Log all member contacts for tracking and follow-up.
  • Participate in member engagement workgroups.

Skills

Communication
Customer Service
Advocacy
Healthcare Knowledge

Education

High School diploma
Associate's or Bachelor's Degree in Social Work or Human Services

Job description

Specialist, Medicare Member Engagement - Inbound (Remote in PST/Bilingual Preferred))

Employer Industry: Healthcare Services

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
- Engage directly with new Medicare members to enhance their experience

What to Expect (Job Responsibilities):
- Conduct direct outreach to new Medicare members to provide assistance with their MAPD, DSNP, and MMP plans
- Serve as a navigator for members during the onboarding process, addressing plan questions and anticipating potential issues
- Log all member contacts in a database for tracking and follow-up
- Participate in member engagement workgroups to address Medicare member needs
- Attend regular member benefits training to stay informed about the member advocate/engagement 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 internal and external collaboration
- Basic understanding of managed healthcare systems and Medicare
- Experience conducting intake, interviews, or research on 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

#HealthcareServices #MemberEngagement #CareerOpportunity #CompetitiveBenefits #MedicareSupport

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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.

About the company

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.

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