Member Advocate, Medicare Advantage

CommuniCare Advantage, CommuniCare's Medicare Advantage plan, is currently seeking Member Advocates for our health plan. This is a remote position involving 90% travel mostly to our facilities in the Cleveland, OH region.

PURPOSE / BELIEF STATEMENT

Member Advocates are dedicated to assisting our members with care navigation and enrichment to maximize the member healthcare experience. Member Advocates will personalize their advocacy approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members in making healthcare decisions that are right for them and their families.

What We Offer

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:

• 401(k) Employer Match with Flexible Spending Accounts
• Medical, Dental, and Vision
• Life Insurance
• LTD/STD

Required

QUALIFICATIONS / EDUCATION REQUIREMENTS

• Skill in establishing priorities with independent coordination of day-to-day duties
• Ability to travel throughout the designated local territory 90% of the work time.
• Advanced organizational and communication skills
• Expert/Highly Skilled with computer skills: Windows-based applications and Microsoft applications
• Four-year advanced degree or equivalent work experience in healthcare payors, social services field, advocacy, customer relations, or other related industry
• 2+ years working in similar role
• Function independently and responsibly with minimal need for supervision
• 2+ years healthcare experience or educational equivalent

Preferred Qualifications

• Understanding and experience with insurance and/or billing
• Credentialing or Provider Relations experience
• Health plan experience
• Ability to develop and manage relationships
• Experience in long term care
• Understanding of healthcare structures
• Experience with medical terminology
• Ability to manage multiple priorities

Job Skills

• Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.
• Must be proficient with computer skills and Microsoft applications.
• Must have strong oral and written communication skills.
• Must be detail oriented with an ability to work well both independently and in a team setting.

Qualified candidates, apply now for a chance to join our outstanding team!