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

Lensa; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare solutions is seeking a Member Advocate in Albuquerque to guide new Medicare members through their onboarding process. This role focuses on enhancing member engagement and retention by providing direct support and ensuring members understand their benefits. Ideal candidates will have a strong background in customer service and advocacy, with experience in healthcare systems preferred.

Qualifications

• 2 years experience in customer service, consumer advocacy, and/or health care systems.
• Experience with Medicare and Medicare managed plans.
• Basic understanding of managed healthcare systems.

Responsibilities

• Conducts direct outreach to new Medicare members for onboarding.
• Acts as a member's advocate to ensure benefit understanding and usage.
• Logs all contacts in a database.

Skills

Excellent communication

Customer service

Consumer advocacy

Education

High School diploma

Associate's or Bachelor's Degree in Social Work, Human Services, or related field

Job description

2 days ago Be among the first 25 applicants

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.

Job Description

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.
• Serve as the member’s navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member’s area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions.
• Log all contacts in a database.
• Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
• Participates in regular member benefits training with health plan, including the member advocate/engagement role.
  
  

Job Qualifications

REQUIRED EDUCATION:

High School diploma.

Required Experience

2 years experience in customer service, consumer advocacy, and/or health care systems. Experience

conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. 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 Medicare managed plans such as MAPD, DSNP, and MMP.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $21.16 - $34.88 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
  
  

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  IT Services and IT Consulting

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