Member Advocate I

Centene Corporation

. Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care .

Posted 10/8/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $19 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong advocacy and liaison skills to facilitate access to care for Members, while effectively addressing complaints and grievances. Possesses extensive knowledge of healthcare needs and community resources, ensuring compliance with HIPAA guidelines.

Highest-signal resume keywords

Member AdvocacyCustomer Service ExperienceMedicare ExperienceMedicaid ExperienceHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Customer ServiceGrievance ResolutionEducational Material DevelopmentAccess Barrier IdentificationCultural Sensitivity Investigation

Soft Skills

CommunicationProblem-SolvingCommunity EngagementEmpathyConflict Resolution

Industry Keywords

Healthcare EnvironmentMember EducationHealth Plan LiaisonCommunity OrganizationsConfidentiality

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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