[Hiring] Member Care Concierge @tenavistaffing

Role Description

We are seeking a compassionate and service-driven Member Care Concierge to support Medicare Advantage members through personalized healthcare navigation and member engagement. This role serves as a key connection point between members, providers, and health plan operations teams to help ensure a smooth and supportive healthcare experience. The ideal candidate is organized, proactive, and comfortable guiding members through benefits, appointments, referrals, and care coordination needs while delivering a high level of customer service. This position plays an important role in improving member satisfaction, engagement, and quality outcomes.

Key Responsibilities

• Provide personalized support to Medicare Advantage members regarding healthcare coverage, care coordination, and wellness resources
• Conduct proactive outbound outreach to engage members and support ongoing healthcare needs
• Follow up on assigned member cases to ensure timely resolution and quality service
• Assist members with scheduling appointments with primary care providers and specialists
• Educate members on gaps in care and preventive health opportunities
• Serve as a liaison between members, providers, and internal health plan teams
• Coordinate appointment reminders, confirmations, referrals, and authorization support
• Respond to inbound member inquiries related to eligibility, benefits, provider access, pharmacy questions, and care coordination
• Support updates related to primary care physician changes and member information
• Document interactions accurately and maintain compliance with company policies and standard operating procedures
• Communicate member updates and concerns to providers and care teams as needed
• Support overall member engagement and retention initiatives
• Perform additional duties as assigned

Qualifications

• Certified Medical Assistant (CMA) or equivalent healthcare certification preferred
• Minimum 1 year of healthcare experience
• Minimum 1 year of customer service or member support experience
• Strong communication and interpersonal skills
• Ability to navigate sensitive conversations with professionalism and empathy
• Comfortable handling high-volume phone outreach and member interactions
• Strong organizational skills and attention to detail
• Proficiency with Microsoft Office and healthcare systems/documentation tools

Preferred Qualifications

• Experience supporting Medicare Advantage or managed care populations
• Background in care coordination, patient access, scheduling, or member services
• Familiarity with referrals, authorizations, and healthcare navigation workflows
• Experience working in a remote or call center environment

What Success Looks Like

• Members feel supported, informed, and connected throughout their healthcare journey
• Timely follow-up and issue resolution across assigned cases
• Strong member engagement and satisfaction outcomes
• Accurate documentation and effective communication across care teams
• Consistent professionalism and compassionate member support

Application Requirements

• Must be legally authorized to work in the United States
• Candidates must be willing to submit to a background check and drug screening, if required
• Candidates will be asked to provide their home address and complete employment eligibility questions during the application process

Company Description

Tenavi Staffing partners with organizations to deliver execution-ready talent that makes an immediate impact. Our focus is simple: strong relationships, quality talent, and successful outcomes. We connect healthcare organizations with professionals who bring empathy, accountability, and operational excellence to every member interaction.