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.