Sr Medicare Advocate

Salary Range : $23.27 - $34.91 Hourly

Job Details

TITLE: Sr. Medicare Advocate

LOCATION: REMOTE from any US based location: Eastern or Central Time Zone

The stated pay range is based on a national-average location. Actual salary is determined by factors including relevant work experience, skills and location. This position is bonus eligible.

Optavise a CNO Financial Group company is hiring a Sr. Medicare Advocate. The Sr. Medicare Advocate serves as a vital resource for individuals navigating the complexities of Medicare coverage. This role is a subject matter expert in Medicare policies, procedures, and regulations, and involves providing advice and support to members, ensuring they receive the best possible care and benefits. Additional activities include advocating for members facing coverage issues and ensuring that beneficiaries receive the benefits to which they are entitled. The specialist also educates members on Medicare requirements and works closely with healthcare providers and agencies to resolve issues and improve access to care. This role will also play a key role in developing and maintaining internal training programs related to Medicare, as well as client-facing presentations/webinars.

This is your opportunity to contribute to the success of one of CNO’s fast growing brands. As the organization grows, you’ll see professional development opportunities and learning opportunities.

As a Sr. Medicare Advocate, your responsibilities will include:

• Providing comprehensive and personalized guidance to members regarding Medicare options, benefits, and enrollment processes.
• Educating members on Medicare Advantage Plans, Supplemental Insurance (Medigap), and Prescription Drug Plans.
• Conducting one-on-one consultations to assess clients' healthcare needs and Medicare options available that meet a member’s criteria.
• Assisting clients with Medicare claims and appeals processes.
• Developing, maintaining, and facilitating client-facing member presentations for webinars.
• Developing and maintaining, in coordination with the Optavise training team, a Medicare training program for Advocates.
• Serving as the “first-line-of-escalation” for more junior Advocates, providing expertise on how to manage certain issues or cases based on experience.
• Collaborating effectively with the Nurse Advocates to resolve complex cases or appeals.
• Using the Optavise custom designed case management system, consult with members who require help/guidance/actions with regards to Medicare program(s).
• Conducting external outreach to providers, carriers, and other healthcare agencies to follow through on open case tasks and see a case through successful resolution.
• Conducting external outreach calls as defined by the Optavise leadership team on behalf of clients who require outreach on special programs related to Medicare and support for Open Enrollment.
• Consulting on Open Enrollment activities, educating members and eligible employees on Medicare benefits available to them as they make decisions, including eligibility and costs.
• Staying up to date with changes in Medicare regulations and policies to provide accurate and current information to clients.
• Advocating for members to maximize their Medicare benefits and resolve coverage issues by collaborating with healthcare providers, insurance companies, and other stakeholders to coordinate care and services.
• Maintaining detailed and accurate records of client interactions and case management activities.
• Participating in community outreach and educational events to promote Medicare awareness and enrollment.
  
  
  

The Sr Medicare Advocate is well suited for you if you have :

• In-depth knowledge of Medicare regulations, policies, and procedures.
• Proficiency in healthcare insurance literacy to effectively communicate with members, physicians, and insurance carrier representatives both in writing and verbally.
• Demonstrated ability to communicate concepts, and plan terminology understood by healthcare professionals.
• Strong communication and writing skills and demonstrated ability to communicate complex information clearly and persuasively to provide education and support to all members and their dependents.
• The ability to collaborate effectively with peers to provide excellent service to members through case resolution.
• Excellent customer service and problem-solving techniques to identify issues, root causes and possible solutions.
• Strong analytical and problem-solving abilities.
• The ability to work independently and as part of a team.
• Proficiency in using computer systems and software for case management and record-keeping.
  
  
  

What you’ll need:

• Associate degree preferred
• Healthcare Administration, Social Work, related field, or requisite experience
• Minimum of 4 years of experience working with Medicare or in a similar advocacy role.
  
  
  

What will set you apart:

• Certified Medicare Counselor (CMC) or similar certification preferred
• Bachelor's Degree
• Healthcare Administration, Social Work, related field, or requisite experience
• Candidate location in Central or Eastern US time zone is preferred OR willingness to work Central or Eastern time zone business hours
  
  
  

The Company offers the following benefits for this position, subject to applicable eligibility requirements:

• medical insurance
• dental insurance
• vision insurance
• 401(k) retirement plan with company match
• short-term & long-term disability insurance
• Paid time-off and corporate holidays,
• paid parental leave
• company paid life insurance
  
  
  

Click on this link for additional information.

CNO embraces flexibility and encourages you to work where you’re most productive. Associates who live within a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) have access to come into that office.

Associates who live outside of a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) may perform this role full-time work from home (WFH) from any US based location, as long as you are willing to work central or eastern time zone hours.

All associates may be asked to travel to varying corporate offices periodically. Work cannot be performed from outside of the United States.

accommodation.

Optavise is a trusted benefits partner for business owners and human resources professionals who work hard to build and maintain a healthy, happy workforce. Through Optavise’s cohesive suite of products and services, we guide employers and employees through their healthcare choices to help reduce costs and increase benefits engagement. We streamline administration for employers and educate employees about benefits and care options, making it easy for them to choose and use their benefits wisely. Optavise provides a first-of-its-kind benefits solution, including:

• Benefits administration technology for a streamlined enrollment process
• Customizable selection of voluntary benefits that employees want and need
• Year-round benefits education, communications and advocacy to inform and empower employees to become better healthcare consumers
• Expert resources, helping employees maximize their benefits and make more informed choices for themselves and their family members.
  
  
  

Our goal is to help people make good healthcare decisions. By simplifying administration and making benefits easier to understand, we help drive employee engagement and satisfaction, and save employers time and money.

Optavise is the worksite marketing brand of CNO Financial Group. CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

We are financially strong and well positioned for continued growth, and we are grounded in our core values of Diversity, Equity & Inclusion (DE&I); Integrity, Customer Focus, Excellence, and Teamwork. We have offices in more than 260 communities in the U.S., including our headquarters in Carmel, Indiana, and corporate offices in Birmingham, Chicago, Orlando and Milwaukee.

At CNO Financial Group, we’re always looking forward—to the security and stability we help create for our insurance brands’ customers, and the growth we create within our own company. We're looking for ambitious people who want to do more. We'll provide you with opportunities to grow your skills through challenging professional experiences.

If you're looking for a culture that encourages development, helps you reach your potential, and rewards you for your contribution, then CNO Financial Group is right for you. For more information, visit CNOinc.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Compensation

Pay Range: $23.27 - $34.91 Hourly

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

ReqID : JR168998

Job Type : Full time