Member Support Specialist

PACIFICSOURCE

. Serve as a resource to members with complex psychosocial issues that create barriers to medical-regimen adherence and optimal health outcomes .

Posted 9/22/2026full-timeNorth Carolina • United StatesMid-LevelSenior💰 $35,543 - $56,869 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating healthcare services and community resources to support members with complex psychosocial issues. Proficient in motivational interviewing, case management, and maintaining compliance with regulations while effectively communicating with diverse stakeholders.

Highest-signal resume keywords

Case Management ExperienceMotivational InterviewingMedical Management Software ProficiencyCommunity Resource KnowledgeExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical TerminologyData Entry and ReportingAppointment SchedulingQuality Improvement InitiativesPerformance Metrics Compliance

Soft Skills

Team CollaborationIndependent Work AbilityPresentation SkillsProblem-SolvingInterpersonal Skills

Tools & Technologies

Microsoft OfficeCaseTrakker Dynamo

Industry Keywords

Healthcare CoordinationTelephonic SupportHIPAA ComplianceCommunity ServicesHealth Insurance

About the role

Key responsibilities & impact

Serve as a resource to members with complex psychosocial issues that create barriers to medical-regimen adherence and optimal health outcomes
Work telephonically and in person to support members
Coordinate with case managers to develop and implement member-specific goals and plans
Educate members about their benefit structures
Use motivational interviewing and patient-engagement techniques to support optimal health outcomes
Identify community resources and make referrals
Serve as liaison between members and providers/agencies
Identify members for coordination and case management services using claims data and reports
Screen requests for appropriate case-management referrals
Collaborate with the case-management team and participate in care-coordination meetings
Maintain compliance with state and federal regulations, HIPAA standards, and confidentiality requirements
Maintain accurate and timely documentation
Assist with referrals, appointment scheduling, and transportation to medical appointments
Assist with non-clinical needs during transitions and phases of care
Manage mailing lists and outgoing mailings
Assist with departmental procedures, reports, and projects
Assist care management with government-regulated quality measures
Enter and collate data and prepare assigned reports
Participate in team, department, company, and community committees
Make presentations to small groups
Participate in quality-improvement initiatives
Perform other duties as assigned

Requirements

What you’ll need

A minimum of three years of experience in community services or healthcare agencies focused on coordination services required
Experience in health insurance and delivering group presentations preferred
High school diploma or equivalent required
Knowledge of medical terminology
Proficient in Microsoft Office, including Word, Excel, and PowerPoint
Proficiency with medical management software (e.g. CaseTrakker Dynamo)
Excellent verbal and written communication skills
Ability to work independently and effectively on a team
Good working knowledge of how to access community resources and the healthcare system
Ability to meet department and company performance and attendance expectations
Ability to read and comprehend written and spoken English
Ability to communicate clearly and effectively
Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive typing/sorting/filing motions, and lift and carry files and business materials
Travel required approximately 20% of the time