Member Advocate I

This is a fully remote position, open to applicants in Florida.

📋 Description

• Serve as an advocate for Members and act as a liaison between the Health Plan and Providers to ensure access and availability of care.

• Build a presence within the community.

• Encourage education for Members.

• Identify and address systemic barriers that hinder Members' access to appropriate care.

• Receive and address Member complaints and formal grievances.

• Recognize potential access obstacles and resolve them in accordance with the grievance procedure.

• Investigate and address access and cultural sensitivity concerns raised by Member Services staff, State personnel, providers, advocacy groups, and recipients.

• Engage with local community organizations to gain insights into the unique healthcare needs of Members.

• Update and modify educational resources as necessary.

• Act as the primary contact for Member advocacy groups, human services agencies, and State entities.

⛳️ Requirements

• Must possess authorization to work in the U.S. without requiring employment-based visa sponsorship, both now and in the future.

• Must reside in the state of Florida.

• Must be available to work from 8:00 a.m. to 8:00 p.m. Eastern Time.

• High school diploma or equivalent is required.

• A minimum of 3 years of customer service experience within a healthcare setting.

• Experience with Medicare and/or Medicaid is preferred.

• Must maintain confidentiality in accordance with HIPAA regulations.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase program.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.