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-timeRemote • Missouri • United StatesMid-LevelSenior💰 $35,543 - $56,869 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in case management and community resource coordination, with a strong focus on member education and engagement techniques. Proficient in maintaining compliance with regulations and delivering effective presentations to support optimal health outcomes.

Highest-signal resume keywords

Case Management ExperienceMotivational InterviewingMedical Terminology KnowledgeMicrosoft Office ProficiencyCommunity Resource Identification

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Case ManagementHealth Insurance KnowledgeData Entry and ReportingMedical Management SoftwareDocumentation Maintenance

Soft Skills

Excellent Communication SkillsTeam CollaborationIndependent Work AbilityPresentation Skills

Tools & Technologies

CaseTrakker DynamoMicrosoft WordMicrosoft ExcelMicrosoft PowerPoint

Industry Keywords

Psychosocial IssuesHealthcare CoordinationHIPAA ComplianceCommunity ServicesQuality Improvement Initiatives

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 as an integral part of the case management team
Develop and implement member goals and plans in coordination with case managers
Educate members about understanding and working within their benefit structure
Use motivational interviewing and patient-engagement techniques to support optimal health outcomes
Identify community resources and make appropriate 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 members with non-clinical needs during transitions and phases of care
Manage mailing lists and outgoing mailings
Assist with departmental procedures, reports, projects, and quality measures
Enter and collate data and prepare assigned reports
Participate in committees and quality-improvement initiatives
Make presentations to small groups
Perform other duties as assigned

Requirements

What you’ll need

Minimum of three years of experience in community services or healthcare agencies focused on coordination services
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
Experience with medical management software, such as 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 and filing, and lift and carry files and business materials
Ability to travel approximately 20% of the time