Member Engagement Specialist

Job Summary

Providing support for member engagement and retention, the full-time Member Engagement Specialist will manage member inquiries, assist with appeals and grievances, and advocate for members' rights while working in a healthcare setting.

Key responsibilities

• Provide direct telephonic assistance to members, resolving issues and complaints to enhance member engagement
• Educate members on their rights, benefits, and covered services, including preventive care
• Collaborate with the care management team to identify trends in member issues and implement solutions

Required qualifications

• At least 2 years of experience in member services, community engagement, or customer service in a healthcare setting
• Basic understanding of managed healthcare systems and behavioral health issues
• Effective interpersonal skills with a customer-first mindset
• Ability to work independently and as part of a team in a fast-paced environment
• Proficiency in Microsoft Office suite and applicable software programs