Member Advocate, Medicare Advantage

Job Description

Location: Remote (US-based)

We are hiring for a Member Advocate, Medicare Advantage with a national health plan managing a large book of Medicare Advantage members across multiple regions and benefit structures. This position is a full-time, direct hire opportunity.

Responsibilities

• Manage a panel of assigned Medicare Advantage members with scheduled proactive outreach
• Conduct outreach to members with open quality and care gap measures
• Explain plan benefits, coverage options, and supplemental benefit programs clearly
• Assist members in scheduling PCP visits, specialist referrals, and preventive services
• Coordinate transportation, DME, and pharmacy support through plan-funded resources
• Document each member interaction in the care management platform within the same business day
• Escalate high-acuity or recently discharged members to clinical care management
• Support annual enrollment and plan-of-care review processes for assigned members

Qualifications

• 2+ years in a healthcare customer service, care coordination, or member services role
• High school diploma required; associate degree preferred
• Familiarity with Medicare benefits and Medicare Advantage plan structures
• Strong phone communication and accurate documentation habits
• Comfortable navigating multiple systems and platforms simultaneously
• Bilingual English and Spanish a strong plus

Schedule

Fully remote within the US. Standard business hours, Monday through Friday, with occasional flex scheduling for member availability.

Salary Range: The salary range for this position is approximately $40,000 – $55,000 annually ($19.23 – $26.44 per hour), based on experience and qualifications.

Interview Process:

• Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.