Member Advocate I

🔥 2 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $19 - $32 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• 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 systemic barriers that limit Members access to appropriate care • Receive and respond to Member complaints and formal grievances • 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 • Update and revise educational materials as appropriate • Serve as primary contact for Member advocacy groups, human services agencies and State entities

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Must live in the state of Florida • Must be available to work between 8:00 a.m. - 8:00 p.m. Eastern • High school diploma or equivalent • 3+ years of customer service experience in a healthcare environment • Medicare and/or Medicaid experience preferred • Maintain confidentiality per HIPAA guidelines

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules