Member Advocate

Job Summary

A company is looking for a Member Advocate I to act as a liaison between the Health Plan and Members, ensuring access to care.

Key Responsibilities

• Receive and respond to Member complaints and grievances, identifying and resolving access barriers
• Investigate access and cultural sensitivity issues raised by various stakeholders
• Engage with local community organizations to understand Members' health care needs and update educational materials

Required Qualifications

• High school diploma or equivalent
• 3+ years of customer service experience in a healthcare environment
• Experience with Medicare and/or Medicaid preferred
• Fluency in Russian, Mandarin, or Cantonese highly preferred
• Understanding of HIPAA guidelines for confidentiality