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CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

Life Services Member Engagement Specialist 1

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeIndiana, USARemote

About the Job

Requirements

  • A high school diploma or GED is required.
  • At least two years of experience in administrative support or customer service is required.
  • Proficiency with Microsoft Office, including Outlook, Word, Excel, and PowerPoint, is required.
  • The role requires written and verbal communication, independent and team-based work, effective listening and critical thinking, time management, telephone customer engagement, problem-solving and attention to detail, interpersonal skills and professionalism, multitasking, database management, compassion and collaboration with members and families, asking pertinent questions, working in a fast-paced environment, ethical conduct, positive stakeholder relationships, awareness of community and state support resources, organization, detail orientation, conflict resolution, composure during emotional stress, confidentiality, empathy, and process improvement.
  • Annual influenza vaccination is required for designated positions during influenza season, with employees hired during that season required to complete it within 30 days of hire, subject to applicable accommodation processes.

Responsibilities

  • Act as the first point of contact for new Life Services and JobConnect members and direct them through the intake process.
  • Begin member interventions by considering each person's situation and unique needs, and aim to help members feel informed, empowered, and supported.
  • Answer and route incoming telephone calls to the appropriate personnel or initiate intake for first-time callers, and verify and complete the intake process for each new member.
  • Create and maintain new member files.
  • Provide timely and accurate documentation.
  • Participate in team meetings and maintain basic knowledge of department activities.
  • Build and strengthen member relationships by providing quality customer service.
  • Communicate with new members after Life Services events by confirming next steps and continuing the onboarding process.
  • Assist in auditing member data for accuracy.
  • Perform data entry and basic analysis, including pulling specific reports as needed.
  • Manage all aspects of departmental Member Assistance Fund requests.
  • Assist with providing health education, wellness materials, and member benefits as directed.
  • Perform other job duties as requested.

Desired Qualifications

  • An associate degree in business or a related field, or equivalent years of work experience, is preferred.
  • Experience with Microsoft Dynamics CRM is preferred.
  • Experience with Guiding Care (Altruista) and Streamline is preferred.

About the Company

CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

CareSource provides health coverage to more than 2 million members, offering Marketplace plans as well as Medicare and Medicaid products. Its core service is delivering health insurance and related care to individuals and communities through a member-first approach, aiming to improve health and well-being over time. The company operates with a focus on affordable, accessible coverage and care coordination across states, guided by its mission to place people over profits rather than simply selling plans. Key differentiators include a long history (30+ years), a national footprint with 4,500+ employees, and an emphasis on serving members’ needs and languages while promoting equal opportunity employment. The overarching goal is to help members live healthier lives by providing comprehensive coverage and support.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dayton, OH
Founded
1989

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