会员倡导者I
Member Advocate I
职位目的：作为成员的倡导者，并确保医疗计划和提供商之间的联系。以确保可用性和获得护理。建立社区存在，促进会员教育，确定和解决任何系统障碍限制会员获得适当的护理。关键细节：必须被授权在美国工作，不需要基于就业签证赞助现在或将来。赞助和未来赞助对于此机会是不可用的，包括基于就业的签证类型 H-1B,L-1,O-1,H-1B1,F-1,J-1,OPT 或 CPT.这个机会要求个人必须住在佛罗里达州。应在8点至20点之间工作。·接收和响应成员的投诉和正式抱怨，并根据申诉程序所示确定潜在的访问障碍和解决问题。·调查和解决由会员国服务人员，国家员工，提供商，倡导组织和受益者发现的访问和文化敏感性问题。·参与当地社区组织获得有关成员特殊医疗保健需求的知识和见解，并在适当情况下更新和修改教育材料。·作为成员倡导团体，人力服务机构和国有单位的主要联系方式。· 保持 HIPAA 的准则的保密性。教育/经验：高中文凭或相等级。3年以上在医疗保健环境中的客户服务经验。医疗和/或医疗补助经验优先。薪酬范围：每小时19,43.43美元至32.98美元 在 Centene,我们将人们联系到他们需要的生活更健康的护理，你在这里的工作使得这些影响成为现实的日常生活。你将承担有意义的挑战，直接支持个人，家庭和社区，同时提高你的技能，让医疗保健更加可访问和有效。它是可以看到的目的工作，由团队支持改善生活远超出工作日期。百分之四提供了包括：竞争性工资，医疗保险，401K 和股票购买计划，学费退还，付费休假加上假期以及灵活的方法来使用远程，混合，现场或办公工作时间表。实际薪水将根据个人技能，经验，教育和其他法律允许的工作相关因素调整，包括全职或兼职状态。总补偿也可能包括
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Position Purpose: 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.
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
This opportunity requires the individual must live in the state of Florida.
Must be available to work between 8:00 a.m. - 8:00 p.m. Eastern.
- 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.
Pay Range: $19.43 - $32.98 per hour
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Originally posted on Himalayas