Medicare Member Engagement Specialist

1 week ago


Long Beach, United States Molina Healthcare Full time $20 - $35

Job Summary

Responsible for continuous quality improvements regarding member engagement and retention. Represents member issues in areas involving member impact and engagement including: new member onboarding, member plan benefits education, and the development/maintenance of member materials.

Knowledge/Skills/Abilities

  • Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options, and how to use their new plan benefits.
  • Serves as the member’s navigator during the onboarding process, addressing any plan questions and anticipating potential issues. Determines the nature of the member's needs and interests; informs members of their plan resources and benefits with a focus on the member’s area of interest/needs; follows up with members to ensure needs are met and that the member is having a positive plan experience. Develops relationships with members to be the go-to person for any future issues or questions.
  • Logs all contacts in a database.
  • Participates in member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
  • Participates in regular member benefits training with the health plan, including the member advocate/engagement role.

Job Qualifications

REQUIRED EDUCATION: High School diploma.

REQUIRED EXPERIENCE: 2 years experience in customer service, consumer advocacy, and/or healthcare systems. Experience conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.

PREFERRED EDUCATION: Associate's or Bachelor's Degree in Social Work, Human Services, or related field.

PREFERRED EXPERIENCE: Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $20.29 - $34.88 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


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