We are seeking an experienced professional to join a growing, full remote health plan as a Member Care Advocate. This position is 100% remote.

Are you ready for your next career as a Member Care Advocate? We are dedicated and devoted to consistently improving the culture of our team and focus on finding the "right people" - not just the right resume!

Apply today if you are interested in getting your name in the mix!

Member Care Advocate - Job Overview:

• Provide empathetic support: Answer inbound calls and chats from members, providers, and vendors, ensuring each interaction is respectful, compassionate, and solutions-oriented
• Assist members in resolving health plan-related questions, including claims and billing inquiries, prior authorizations, and benefits coverage.
• Facilitate access to virtual care services, second opinions from an expert, and other healthcare resources.
• Own the member journey: Take full ownership of member issues from start to finish, researching and resolving complex cases to minimize member effort
• Empower members through education: Help members understand their available benefits and guide them in accessing the services that best meet their needs
• Drive member satisfaction: Ensure all interactions meet quality standards, focusing on delivering empathetic, efficient, and member-focused service

Member Care Advocate - Schedule:

Various Schedules Needed M-F, full time 40 hours

Member Care Advocate - Pay & Benefits:

• $18-19.50/hr based on experience and geographical location
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Member Care Advocate - Requirements:

• 5 years related healthcare/health plan experience
• Proven experience working from home/remotely

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.