CommuniCare Advantage, a Medicare Advantage plan, is currently seeking Provider / Member Advocates for our health plan. This is a remote position involving 80% travel mostly to our facilities in northern West Virginia.

PURPOSE / BELIEF STATEMENT

Provider / Member Advocates are dedicated to assisting our members with care navigation and resource referral to maximize the member healthcare experience. These advocates will personalize their advocacy to each member by coordinating their services and support to get them to the right services 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 Insurance
• LTD/STD
• Medical, 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!