Member Service Guide – Care Guide

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $22 - $25 / 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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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Provide exceptional member support by responding to inquiries with empathy and accuracy • Assist with provider searches, appointment scheduling and rescheduling, PCP changes, onboarding visits, and connections to appropriate care teams and resources • Apply established protocols and clinical tools to support members with symptoms or critical lab results • Process medication refill requests and coordinate follow-up care • Educate members on plan benefits, Devoted Medical programs, enrollment opportunities, pharmacy benefits, Medicaid/LIS programs, and other resources • Maintain timely, complete, and accurate documentation • Collaborate with CAs, other Care Guides, Care Pathway Guides, and clinical staff to resolve member needs • Participate in team meetings, learning opportunities, and workflow enhancements • Adapt to changing priorities, communication channels, and operational workflows

🎯 Requirements

• Proven ability to independently navigate complex member needs, apply established protocols, and coordinate resolution across multiple teams and stakeholders • Prior experience in a Tier 2 support role a plus for internal candidates • Ability to support members through appointment scheduling, provider selection, benefit navigation, clinical order follow-up, and coordination of healthcare services • Comfort working within established protocols and escalation pathways while supporting members with time-sensitive healthcare needs • Strong written and verbal communication skills across phone, chat, and digital platforms • Ability to identify member needs, connect information across systems, and proactively remove barriers to care • Ability to evaluate situations, follow established protocols, and determine appropriate next steps • Compassion, patience, and professionalism when supporting members through healthcare-related concerns • Ability to work effectively with clinical teams, providers, and cross-functional partners • Flexibility in a dynamic environment with evolving priorities and workflows • Must be dependable and able to work evenings, weekends, and holidays as business needs require • Strong internet connection and a secure, private workspace

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Parental leave program • 401K program