Provider / Member Advocate, West Virginia Senior Advantage

Posted 11 days ago

communicare corporateCharleston (WV)

Patient Representatives Services for the Elderly and Persons with Disabilities

SENIORITY

Senior

Apply

About the role

Provider / Member Advocates West Virginia Senior Advantage, a Communi Care Medicare Advantage plan, is currently seeking Provider / Member Advocates for our health plan. This is a remote position involving 90% travel mostly to our facilities in northern West Virginia. Purpose / Belief Statement Member Advocates are dedicated to assisting our members with care navigation and enrichment to maximize the member healthcare experience. Member Advocates will personalize their advocacy approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members in making healthcare decisions that are right for them and their families.

What We Offer:

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:
Life InsuranceLTD/STDMedical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts
Qualifications / Education Requirements

Required: 2+ years working in similar role

Expert/Highly Skilled with computer skills: Windows-based applications and Microsoft applications Ability to travel throughout the designated local territory 90% of the work time. Advanced organizational and communication skills Four-year advanced degree or equivalent work experience in healthcare payors, social services field, advocacy, customer relations, or other related industry 2+ years healthcare experience or educational equivalent Skill in establishing priorities with independent coordination of day-to-day duties Function independently and responsibly with minimal need for supervision

Preferred Qualifications:

Ability to develop and manage relationships
Credentialing or Provider Relations experience
Health plan experience
Ability to manage multiple priorities
Understanding of healthcare structures
Understanding and experience with insurance and/or billing
Experience in long term care
Experience with medical terminology
Job Skills:
Must have strong oral and written communication skills.
Must be detail oriented with an ability to work well both independently and in a team setting.
Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.
Must be proficient with computer skills and Microsoft applications.
Qualified candidates, apply now for a chance to join our outstanding team!

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.