Dual Eligible Engagement Specialist

Remote Position Purpose: 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. Key Details: 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 Pittsburg area. Candidate will need to be ok with travel and working some weekends. Experience with Medicare sales is highly preferred. Responsibilities: 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???> Performs other duties as assigned Complies with all policies and standards Education/Experience: 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. Licenses/Certifications: State Accident & Health Insurance Upon Hire required Current state driver’s license Upon Hire required About Centene: At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. #J-18808-Ljbffr Centene