Member Advocacy Program Manager

Overview

Are you passionate about advocating for others and have experience in the health insurance field? Quartz is seeking a Member Advocacy Program Manager to create, lead and evaluate the Quartz Member Advocacy Program and serve as a lead advocate for Medicaid, BadgerCare and Supplemental Security Income (SSI) members. Join us in making a meaningful impact on healthcare access and quality at Quartz!

Benefits:

• Flexibility and autonomy to manage responsibilities independently with the ability to shape advocacy initiatives
• Join a highly engaged team dedicated to making a difference
• Direct community impact such as improving healthcare access, equity, and well-being for members
• Experience a dynamic work environment with diverse daily tasks and exciting challenges
• Starting salary range based upon skills and experience: $83,800 – $104,800 plus robust benefits package

Responsibilities

• Creates, leads, and evaluates the Quartz Member Advocacy program and serves as the lead advocate for Medicaid, BadgerCare, and SSI members
• Works with both members and providers to facilitate the provision of benefits to members
• Ensures adherence to Department of Human Services (DHS) requirements, including training, complaint resolution, and culture competency initiatives
• Leverages strategic partnerships, population health insights, and robust program management
• Accountable for maintaining a strong market presence in key Quartz service area counties and aligning initiatives with the organization’s strategic goals
• Develop and execute plans to mitigate challenges associated with provider network changes
• Create an annual advocacy and community engagement plan
• Monitor and participate in grievances and appeals to identify trends and address systemic issues in care delivery
• Provide actionable recommendations to improve member experiences and outcomes
• Evaluate provider network changes to ensure continuity, equity, and quality of care

Qualifications

• Bachelor’s Degree with 5 years of experience in Advocacy, Healthcare, or Social Services, with a focus on Medicaid, BadgerCare Plus, and Supplemental Security Income (SSI) Populations,
• OR Associate’s Degree with 8 years of experience in Advocacy, Healthcare, or Social Services, with a focus on Medicaid, BadgerCare Plus, and Supplemental Security Income (SSI) Populations,
• OR High School Equivalency with 11 years of experience in Advocacy, Healthcare, or Social Services, with a focus on Medicaid, BadgerCare Plus, and Supplemental Security Income (SSI) Populations
• Demonstrated experience working with individuals with disabilities (this is required per DHS contract)
• Expertise in cultural competency, health equity, and advocacy strategies
• Strong problem solving, mediation, and negotiation skills
• Proficiency in analyzing data and presenting actionable insights
• Flexibility to address member needs and participate in community events, including occasional evening or weekend commitments

Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility, Relationships, and Resourcefulness. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.