[Hiring] Dual Eligible Engagement Specialist @Centene Corporation

Role Description

Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries and serve as the primary engagement owner responsible for driving conversion, onboarding, early member retention, and ongoing engagement. Serves as a dual-eligible subject matter expert, coordinating with internal and external partners to improve member alignment, engagement, quality outcomes, and retention.

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
• Candidate must reside in the greater Philadelphia or Pittsburgh area.
• Candidate will need to be ok with travel and working some weekends.
• Experience with Medicare sales is highly preferred.

• Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status, readiness, market priorities, and individual needs while supporting onboarding, retention, and ongoing member engagement.
• Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships.
• Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources.
• Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations.
• Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention.
• Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being.
• Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement.
• Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements.
• Complete required certifications and training programs.
• Perform other duties as assigned.
• Comply with all policies and standards.

Qualifications

• High School Diploma or GED, or equivalent required.
• 2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination required.
• Experience working with underserved or dual-eligible populations preferred.
• Bilingual (Spanish or other relevant languages) preferred.

Requirements

• State Accident & Health Insurance Upon Hire required.
• Current state driver’s license Upon Hire required.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.