Member Experience Specialist - Managed Care

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This opportunity serves as a trusted resource for members by helping resolve barriers to care, connecting individuals with available resources, addressing concerns, and ensuring members have a positive experience with their health plan.

Field-Based + In-Office Role | Competitive Weekly Pay + Benefits

This Jobot Consulting Job is hosted by: Jennifer Whitworth
Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.
Salary: $30 - $35 per hour

A bit about us:

A respected managed care organization dedicated to improving healthcare outcomes through quality-driven programs, member-focused services, and collaborative partnerships across Central California. Committed to regulatory excellence and advancing the health of the communities it serves.

Job Title: Member Experience & Retention Specialist
Compensation: $30 - $35/hour ($60k - $75k/year), depending on experience
Location: Fresno, CA (Field-Based + In-Office)
Service Area: Fresno, Kings, and Madera Counties
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Type: Contract-to-hire (strong potential for permanent hire)

Why join us?

• Competitive compensation
• Comprehensive benefits package
• Temp-to-hire opportunity with long-term career potential
• Meaningful work supporting underserved communities throughout the Central Valley
• Opportunity to improve healthcare access and member outcomes
• Collaborative and mission-driven team environment
• Community-focused organization with strong local partnerships

Job Details

We are seeking a Member Experience & Retention Specialist to support member engagement, satisfaction, and retention initiatives throughout Fresno, Kings, and Madera Counties. This opportunity serves as a trusted resource for members by helping resolve barriers to care, connecting individuals with available resources, addressing concerns, and ensuring members have a positive experience with their health plan.

This is a field-based role supporting members throughout the service area. Travel will be driven by member needs. When not meeting with members or traveling within the community, the individual will work from the Fresno office.

Responsibilities:

• Build trusted relationships with members and assist with resolving healthcare-related concerns.
• Help members navigate healthcare services, benefits, appointments, and available community resources.
• Conduct outreach to current, former, and newly enrolled members.
• Support member satisfaction, engagement, and retention initiatives.
• Collaborate with healthcare providers, community organizations, and internal departments to remove barriers to care.
• Document member interactions and appropriately escalate complex issues when needed.
• Participate in community outreach events, focus groups, and member engagement activities.
• Prepare monthly activity summaries and reports for leadership.
• Maintain compliance with HIPAA and organizational policies.

Qualifications:

• Bachelor's degree preferred; relevant professional experience may be considered in lieu of a degree.
• Experience in healthcare, insurance, managed care, member services, patient experience, customer service, or community outreach.
• Strong communication, relationship-building, and problem-solving skills.
• Comfortable working independently and managing multiple priorities.
• Proficiency with Microsoft Office and electronic systems.
• Bilingual English/Spanish strongly preferred.
• Reliable transportation and willingness to travel throughout Fresno, Kings, and Madera Counties.

Interested in learning more? Apply today or confidentially send your resume to Jennifer Whitworth at https://jobot.com/apply/member-experience-specialist-managed-care/2063979841?utm_source=Monster for consideration.

Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

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