Member Advocate, Medicare Advantage CommuniCare Corporate

West Virginia Senior Advantage, an Institutional Special Needs Medicare Advantage Plan (ISNP), is currently seeking a Member Advocate to establish an enthusiastic customer-oriented presence throughout a designated territory. In this exciting new role, the ISNP Member Advocate will be engaged directly with our healthplan members, their families and individualized care teams in an effort to promote and support proactive, appropriate care. 

This is a remote position involving weekday travel during business hours, Monday-Friday, to your assigned local long-term care facilities in the Central and Eastern Panhandle regions of West Virginia.

PURPOSE / BELIEF STATEMENT

Member Advocates are dedicated to assisting our members with healthplan benefit navigation as well as facility enrichment to maximize the healthcare experience. Member Advocates will personalize their 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 and families in maximizing their ISNP benefits. 

Our ISNP advocacy platform is about helping people find their voice—our members, our peers, our facilities, our providers, our company. Beyond the robust ISNP clinical model of care, Member Advocacy makes us unique to the frail and vulnerable population that we serve. 

QUALIFICATIONS / EDUCATION REQUIREMENTS

Required:

• 3 years’ experience in healthcare, nursing home, long-term care, geriatrics, special needs, social services, Medicare, insurance, advocacy, or customer service
• Strong comprehension of CMS regulated healthcare entities and insurances
• Dynamic, compassionate, approachable demeanor
• Zeal for connecting with people and building trustworthy relationships
• Proficient computer skills with Windows-based and Microsoft applications
• Ability to demonstrate advanced organizational and communication skills
• Ability to function independently and responsibly with minimal need for supervision
• Ability to develop and manage relationships, as well as multiple priorities
• Ability to travel throughout the designated local territory Monday-Friday during business hours

Preferred:

• Four-year advanced degree or 6 years equivalent work experience in healthcare, nursing home/long-term care, social services, advocacy, customer service, or other closely related industry