Customer Experience Associate

Magellan Health

. Support members and providers by facilitating care and service .

Posted 9/22/2026full-timeRemote • Hawaii • United StatesJuniorMid-Level💰 $34,295 - $51,445 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills with the ability to handle healthcare-related inquiries, navigate multiple systems, and meet call center metrics. Proficient in managing crisis calls and maintaining compliance with legal and regulatory standards.

Highest-signal resume keywords

Customer Service ExperienceCall Center MetricsCrisis Call ManagementKeyboard ProficiencyRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Intake DocumentationPatient Information EntryMedical Information ResearchCall HandlingTriage Decision Facilitation

Soft Skills

Attention to DetailFlexibilityTeam SupportCommunication Skills

Tools & Technologies

Multiple Computer ApplicationsDelivery Systems

Certifications & Qualifications

GEDHigh School Diploma

Industry Keywords

Healthcare BenefitsEAP ServicesClaims ManagementEligibility VerificationOperational Compliance

About the role

Key responsibilities & impact

Support members and providers by facilitating care and service
Assist members, providers, and clients with programs, policies, and procedures
Handle incoming and outgoing calls related to healthcare benefits
Administer intake documentation in appropriate systems
Resolve callers’ needs on the first call while meeting quality standards
Research and communicate medical information about services, claims, eligibility, benefits, EAP services, claim status, and authorizations
Identify and respond to crisis calls with appropriate resources
Facilitate routine referrals and triage decisions not requiring clinical judgment
Assemble and enter patient information into appropriate delivery systems
Navigate systems and document and forward customer information
Meet service standards and monthly call center metrics
Support team members and participate in high-performance team activities
Participate in ongoing training and stay current on operational changes
Identify and report operational problems and inefficiencies
Lead or participate in activities improving Care Center performance, quality, and culture
Read and retain information from multiple resources to address calls accurately

Requirements

What you’ll need

2 or more years of customer service experience
Must be able to talk and type simultaneously, with attention to detail
Must be flexible in scheduling and comfortable with change
Responsible for meeting monthly individual call center metrics
Must agree to recording and evaluations for training and compliance
Proficient with keyboard functions and navigation between multiple computer applications
GED or High School required
Must reside in Hawaii
Must comply with applicable legal, regulatory, contractual, and internal policy requirements
Must understand, comply with, and attest to position-specific security responsibilities and controls

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health, life, voluntary, and other benefits
Physical, mental, emotional, and financial wellbeing perks
Tobacco-free workplace