Member Experience Specialist - Managed Care

Primarily Remote + Field-Based Role | Competitive Weekly Pay + Benefits

This Jobot Consulting Job is hosted by: Jennifer Whitworth
Are you a fit? Easy Apply now by clicking the "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 (Primarily Remote & Field-Based)
Travel: 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
• Primarily remote and field-based opportunity
• Opportunity to make a meaningful impact throughout the Central Valley
• Collaborative, mission-driven team environment
• Work directly with members to improve healthcare access and outcomes
• Community-focused organization with strong local ties
• Temp-to-hire opportunity with long-term career potential

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.

The ideal candidate enjoys building relationships, helping others, solving problems, and making a positive impact within the community. This position combines member advocacy, outreach, customer service, and healthcare navigation in a highly visible role that works closely with leadership, providers, and community partners.

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 conflict-resolution skills.
• Ability to build trust and effectively support diverse populations.
• Demonstrated empathy, emotional intelligence, and customer service skills.
• Strong organizational, documentation, and follow-up abilities.
• Ability to work independently and manage 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 jennifer.whitworth@jobot.com for consideration.

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

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