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!

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JOB OVERVIEW

Experience level

Senior

Location

Charleston, WV

Occupation

Patient Representatives

Industry

Services for the Elderly and Persons with Disabilities

Posted

10 days ago

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