Specialist, Medicare Member Engagement - Remote in Eastern Time Zone

Molina Healthcare; Kearney (NE); Remote; USD 60,000 - 80,000; Full time

Job summary

Molina Healthcare seeks a Specialist for Medicare Member Engagement, primarily focused on enhancing member onboarding and retention. This role engages directly with new members, ensuring they understand their benefits and providing support for any inquiries. Ideal candidates will have a high school diploma and experience in customer service or healthcare systems.

Qualifications

• 2 years in customer service or consumer advocacy.
• Excellent communication skills.
• Basic understanding of managed healthcare and Medicare.

Responsibilities

• Conducts outreach to new Medicare members for assistance.
• Serves as navigator for member onboarding and addresses questions.
• Develops relationships to support future inquiries.

Skills

Communication

Customer Service

Consumer Advocacy

Healthcare Systems Knowledge

Education

High School Diploma

Associate's Degree in Social Work or Human Services

Bachelor's Degree in Social Work or Human Services

Job description

Join to apply for the Specialist, Medicare Member Engagement - Remote in Eastern Time Zone role at Molina Healthcare.

Get AI-powered advice on this job and more exclusive features.

Job Summary

Responsible for continuous quality improvements regarding member engagement and member retention. Represents member issues in areas involving member impact and engagement, including:

• New Member Onboarding, member plan benefits education, and the development/maintenance of Member Materials.

Knowledge/Skills/Abilities

• Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options, and how to use their new plan benefits.
• Serves as the member’s navigator during onboarding, addresses plan questions, anticipates issues, and follows up to ensure a positive experience. Develops relationships to be the go-to person for future questions or issues.
• Logs all contacts in a database.
• Participates in Member engagement work groups as needed to address Medicare member needs.
• Participates in regular member benefits training with the health plan, including the member advocate/engagement role.

Job Qualifications

Required Education: High School diploma.

Required Experience: 2 years in customer service, consumer advocacy, or healthcare systems. Experience with intake, interviews, or research of consumer/provider issues. Excellent communication skills. Basic understanding of managed healthcare systems and Medicare.

Preferred Education: Associate's or Bachelor's Degree in Social Work, Human Services, or related field.

Preferred Experience: Experience with Medicare and managed plans like MAPD, DSNP, and MMP.

To all current Molina employees: Please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $21.16 - $34.88 / HOURLY

Note: Actual compensation may vary based on location, experience, education, and skills.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Business Development
• Industries: Hospitals and Health Care

Referrals increase your chances of interviewing at Molina Healthcare by 2x.

Get notified about new Member jobs in Kearney, NE.

We’re unlocking community knowledge with AI-driven insights.