Member Advocate

3 weeks ago


Indianapolis, United States Professional Management Enterprises Full time
Job DescriptionJob Description

Seeking a Member Advocate to act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care. This is a hybrid position requiring 1 week per month in office. Schedule is Monday-Friday 8:00 am – 5:00 pm EST. Bilingual in Spanish is preferred.

Job Duties:

  • Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure.
  • Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients.
  • Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate.
  • Serve as primary contact for Member advocacy groups, human services agencies, and the State entities.
  • Maintain confidentiality per HIPAA guidelines.


Education/Experience:  High school diploma or equivalent.   3+ years of customer service experience in a healthcare environment.  Medicare and/or Medicaid experience preferred.

Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.Company DescriptionProfessional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.

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