Remote Grievance Investigator & Member Advocate
Healthfirst
- Remote job
Healthfirst is seeking a Grievance Specialist to manage member-initiated grievances across Medicare, Medicaid, CHPlus, SHP, QHP, EP, and CompleteCare. This non-clinical role focuses on thorough investigations and timely, compliant resolutions. The position is 100% remote with EST business hours. You will collaborate with internal teams and external vendors to address issues, document cases, and meet regulatory requirements, while advocating for members throughout the full case lifecycle. #J-18808-Ljbffr Healthfirst
$19.43 - $32.98 per hour
## Member Advocate IApply: Remote-FL: Full time: Posted Today: End Date: October 11, 2026 (2 days left... ...respond to Member complaints and formal grievances and identify potential access... ...indicated in the grievance procedure.* Investigate and resolve access and cultural sensitivity...Remote workHourly payFull timePart timeH1bLive inWork at officeLocal areaFlexible hours- ...and Blue Shield of Kansas is seeking an MA Appeals and Grievances Specialist to improve member experiences and ensure compliant resolutions. The role... ...customer service and 3+ years in MA/Medicaid appeals. Remote or onsite work is available under our Telecommuting Policy...Remote workRelocation package
- ...Member Services Advocate US-MI-Livonia Job ID: 2026-2231 # of Openings: 30 Category: Customer Service Livonia Overview... ...Responsibilities How You’ll Work Work Solution: Remote Relocation Eligibility: Not Available Demonstrate and...Remote workH1bRelocationFlexible hoursWeekend work
- ...To support a growing mission in healthcare, the part-time contract Member Care Advocate will provide empathetic support to members navigating their benefits and care options while working remotely in a high-volume environment. Key responsibilities Provide member-centered...Remote workContract workPart timeHome office
$27.02 - $48.55 per hour
...Purpose Serves as a vital link between members and the healthcare system, focusing on improving... .... There is a balanced combination of remote work and in-person home visits, with... ...care coordination. Serve as a member advocate by helping individuals navigate complex healthcare...Remote workHourly payFull timePart timeSeasonal workWork at officeLocal areaWork from homeMonday to FridayFlexible hours- ...Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are... .... Position Summary The Member Care Advocate is responsible for performing all tasks... ...and service. This is an in-office/remote hybrid role requiring 2 or more days a...Remote workWork at office2 days per week
- ...Job Title: Member Services Advocate Position Summary: We at Convey Health Solutions focus on building specific technologies and services that can uniquely meet the needs of government-sponsored health plans. We provide member management solutions for the rapidly...Remote workPermanent employmentImmediate start
- UnitedHealthcare is seeking an Office of Individual and Family Affairs Adult Member Liaison in Phoenix, AZ. This role focuses on advocating for behavioral health services, guiding members through complex systems, and collaborating with providers to improve access and quality...Remote jobWork at officeWork from home
- ...healthcare costs for our patients. Curant Health is seeking a PRN Member Care Assistant / Clinical Medical Assistant (CMA) to join our... ...successfully completed and proficiency has been demonstrated. Any remote work flexibility is based on business needs and leadership...Remote workFull timeReliefWork from homeMonday to Friday
- SCAN Health Plan is a nonprofit health organization serving over 500,000 people across multiple states. The Member Experience Guide emphasizes empathy, accountability, and resolving inquiries with urgency and care, centered on the member obsession mindset. You will own...Remote job
- ...Senior Advantage, a CommuniCare Medicare Advantage plan, seeks Provider / Member Advocates to assist members with care navigation and enrichment, maximizing their healthcare experience. Remote position with travel to northern West Virginia facilities, 90% travel anticipated...Remote job
- Workit Health is seeking a Member Experience Specialist to provide exceptional support to members throughout their recovery journey. This remote role involves engaging with patients via various channels, ensuring they receive accurate information and assistance as they...Remote job
- A mission-driven company is hiring a Member Outreach Specialist to guide members through their egg donation journeys. This role involves... ...in a client-facing role and can work weekends. Join a fully remote team dedicated to impactful work in family-building. #J-18808-Ljbffr...Remote jobWeekend work
- Convey Health Solutions is seeking a Member Services Advocate to support beneficiaries with account updates, plan information, and issue resolution, delivering an outstanding customer care experience. You will handle inbound/outbound calls, educate on benefits, verify...Remote job
- The Member Experience Guide at SCAN Group is a remote role focused on delivering empathetic, first-call resolutions for member inquiries across our care programs... ...into simple guidance, collaborate across teams, and advocate for improvements that reduce effort and strengthen...Remote job
- Included Health is hiring Member Care Advocates to support members in navigating benefits and care options. You will handle inbound calls and... ...empathy, accuracy, and adherence to HIPAA in a high-volume remote environment. The 3-week paid training runs 10 a.m. to 7 p.m....Remote jobMonday to Friday
- UnitedHealthcare, part of UnitedHealth Group, is seeking an Office of Individual and Family Affairs Adult Member Liaison in Phoenix. You will advocate for behavioral health and social services, helping members and families navigate care, identify concerns, and remove barriers...Remote jobWork at office
- Included Health is hiring a remote Member Care Advocate to support members with benefits and care navigation. You will handle inbound calls and chats, explain coverage, and guide members through enrollment steps while documenting interactions for continuity of care. You...Remote job
$27.02 - $48.55 per hour
Position Purpose Serves as a vital link between members and the healthcare system, focusing on... ...care coordination. Serve as a member advocate by helping individuals navigate complex healthcare... ..., and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeSeasonal workWork at officeLocal areaWork from homeFlexible hours- AAA Life Insurance Company seeks a Member Service Advocate to support all lines of insurance processing, including enrollments and customer service. The role is a remote, fast-paced inbound call center position serving current members and policyholders. The ideal candidate...Remote jobWeekend work
- UnitedHealthcare in Phoenix, AZ seeks an Office of Individual and Family Affairs Adult Member Liaison to advocate for behavioral health services and navigate complex care for members and families. The role includes meeting with communities, coordinating with providers,...Remote jobWork at office2 days per week
- ...hiring for an Office of Individual and Family Affairs Adult Member Liaison to advocate for behavioral health and social services, help members navigate care, and remove barriers to access. The role blends remote work with onsite collaboration at 1 E. Washington St.,...Remote workWork at office
$60k - $62k
...care, EmpiRx Health puts its customers and members first by enabling them to take control of... ...skilled and experienced Member Care Advocate. In this critical role, you will ensure proactive... ...Work Environment Hybrid (2 days remote/3 days in office) Compensation and Benefits...Remote workWork at office- ...304 West Virginia Senior Advantage, a CommuniCare Medicare Advantage plan, is currently seeking Provider / Member Advocates for our health plan. This is a remote position involving 90% travel mostly to our facilities in northern West Virginia. PURPOSE / BELIEF STATEMENT...Remote workFull timeWork experience placementLocal areaFlexible hours
$21 per hour
Remote Job Type Full-time Description We are looking for energetic, driven, service-oriented individual to fill our Member Experience Advocate - Universal position at our Helena Branch. In this role, the Member Experience Advocate - Universal will serve as a full-service...Remote workHourly payFull timeWork at office$22.79 - $25.07 per hour
...Member Advocate Hourly Pay Range: $22.79 - $25.07, depending on experience. We offer a pay-for-performance compensation program including... ...for all employees and a competitive benefits package. Remote Eligible: No General Purpose of the Position Primarily...Remote workHourly payLocal area- ...United States. INPRS serves the needs of approximately 563,000 members and retirees representing approximately 1,300 employers, including... ...state house. T his position offers some flexibility for remote work. After successfully completing the required 10-week onsite...Remote workPermanent employmentTemporary workH1bWork at officeFlexible hours
$40k
...our company promise is to always put our members first. Our mission is the relentless pursuit... ...experience. As a Medicare Member Advocate, you will be at the heart of consumer experience... ...and development. We offer supportive remote working opportunities What you bring:...Remote workFull timeWork at officeFlexible hoursShift work$34.32k - $45.76k
...focused individuals to join our Gravie Care Member & Provider Services Team. In this role,... ...starting a class of 5+ Member Service Advocates on November 30, 2026. You Will : Deliver... .... Work Environment: This role is remote. Candidates must have access to a quiet,...Remote workFull timeWork at officeFlexible hours- TrueScripts Management Services is seeking a Pharmacy Technician - Member Care Advocate to handle in-house and external communications with clients... ...benefits, and solving complex claims issues. This in-office/remote hybrid role requires 2+ days per week in our Washington,...Remote workWork at office2 days per week
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