Full-Time

Medicare Member Engagement Specialist

Posted on 11/20/2024

Cleo

Cleo

201-500 employees

Employee benefits for working parents and caregivers

Consulting
Healthcare

Compensation Overview

$20 - $25Hourly

Entry, Junior

No H1B Sponsorship

Remote in USA

Candidates can reside in various states including Georgia.

Category
Customer Experience
Customer Support
Customer Success & Support
Required Skills
Communications
Requirements
  • Minimum of 2 years in a customer-facing role, ideally within healthcare, insurance, or social services. Experience in outreach, member engagement, or customer support is strongly preferred.
  • Bachelor’s degree in a relevant field (e.g., Social Work, Health Administration, Communications) or equivalent experience.
  • Proficiency in providing verbal and written support in English and Spanish.
  • Exceptional communication and interpersonal skills, with an ability to build rapport and inspire trust with Medicare members.
  • Strong organizational and time management skills to juggle outreach, follow-up, and referral activities effectively.
  • Research and analytical skills to vet care providers and carry out referrals.
  • Empathy, patience, and a commitment to helping members improve their quality of life through increased access to appropriate care and support.
  • Familiarity with Medicare services, member experience best practices, and healthcare resources is a plus.
Responsibilities
  • Proactively reach out to Medicare members to introduce them to our services, assist with enrollment, and coach them on how to get the most out of our product offerings.
  • Guide members through the onboarding process, ensuring they understand and engage with the services available to them.
  • Identify and follow up with members who have reduced or stopped engagement. Utilize empathy and problem-solving skills to address potential concerns and reintroduce members to our services, helping them feel supported and valued.
  • Use member needs assessments to identify and research external care providers and services that align with each member’s individual requirements.
  • Thoroughly evaluate and vet care providers, ensuring they meet quality and reliability standards.
  • Create and manage a referral process that seamlessly connects members to vetted providers, empowering them to access the care and support they need promptly.

Cleo provides support for working parents and caregivers by partnering with employers to enhance employee benefits. Their programs focus on parental leave, return-to-work strategies, and ongoing family care, aiming to alleviate stress and improve the well-being of working families. Cleo's services have shown to significantly increase the likelihood of employees returning to work after parental leave, with 92% of members doing so, which is much higher than the national average. The company operates on a subscription model, where employers pay fees to offer Cleo's services, which are justified by the positive outcomes such as lower cesarean birth rates and improved employee retention. Cleo differentiates itself through its data-driven approach and strong backing from investors and experts in the field, all while striving to transform the experience of working families into a competitive advantage for employers.

Company Stage

Series C

Total Funding

$78.7M

Headquarters

San Francisco, California

Founded

2016

Growth & Insights
Headcount

6 month growth

-2%

1 year growth

4%

2 year growth

-7%
Simplify Jobs

Simplify's Take

What believers are saying

  • Cleo's recent $40M Series C funding round positions the company for significant growth and product innovation.
  • The partnership with Midi Health expands Cleo's reach and enhances its service offerings, particularly for women navigating midlife hormonal changes.
  • Cleo's acquisition of Caretribe allows it to offer unparalleled support for all caregivers, including those caring for adults and individuals with special needs.

What critics are saying

  • The crowded employee benefits market requires Cleo to continuously innovate to maintain its competitive edge.
  • Integrating acquisitions like Caretribe poses challenges in aligning services and maintaining a cohesive user experience.

What makes Cleo unique

  • Cleo uniquely focuses on comprehensive family support, covering all stages of caregiving from parenthood to adult care, unlike competitors who may only address specific life stages.
  • Their data-driven approach, which has shown to significantly reduce cesarean birth rates and improve return-to-work rates, sets them apart in the employee benefits market.
  • Cleo's strong backing from prominent investors and a robust advisory board lends credibility and financial stability, enhancing their competitive edge.

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