• Somatus (Oroville, CA)
    …+ Participates in the integrated care team meetings. + Function as the patient advocate and supports the member through their patient journey starting with ... + And more! About the Role **Somatus offers a Hybrid Telehealth environment with a combination of remote days...to adhering to a physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical… more
    DirectEmployers Association (10/29/25)
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  • Medicare Member Advocate

    CVS Health (St. Louis Park, MN)
    …And we do it all with heart, each and every day. **Position Summary** As a Medicare Member Advocate supporting the Allina Health | Aetna Medicare ... in understanding and getting the most value from their Medicare plan, enhancing member experience and retention....+ In this role you will work in a hybrid environment with some days in the Allina Health… more
    CVS Health (11/01/25)
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  • Medicare Member Experience Manager

    Centene Corporation (New York, NY)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer and other ... causes, gaining in-depth insights into the underlying factors shaping the member experience. The role extends beyond observation to drive continuous improvements,… more
    Centene Corporation (10/21/25)
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  • Medicare Quality Specialist Pharmacy

    Corewell Health (Grand Rapids, MI)
    …Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and CAHPS by making member outreach calls, scheduling ... in meetings with internal and external teams to improve Medicare Star ratings + Provide high-level, member ...and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective… more
    Corewell Health (10/14/25)
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  • Priority Health Medicare Quality Pharmacy…

    Corewell Health (Grand Rapids, MI)
    …Job Description The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with Medicare members to improve ... and support other quality measures. Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare more
    Corewell Health (10/09/25)
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  • Entitlement Advocate

    Healthfirst (NY)
    …systems.** + **Serve as the liaison between all parties and acts as Member advocate maximizing the participants support network and obtaining needed services.** ... + **Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications.** + **Outreach… more
    Healthfirst (10/14/25)
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  • Navigator, Senior Care Options - Plymouth…

    Fallon Health (Plymouth, MA)
    …partners to better ensure ongoing service provision and care coordination, consistent with the member specific care plan. To effectively advocate for member ... timely data entry + Effective care coordination skills and the ability to communicate, advocate , and follow through to ensure member needs are met +… more
    Fallon Health (10/22/25)
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  • Call Center Service Reps - Hybrid /Remote!…

    Fallon Health (Worcester, MA)
    …There are many great opportunities within our organization starting with joining our Member Services team. Member Services offers a very unique opportunity to ... a representative of Fallon Health, you will be an advocate to members reaching out for support; providing this...a multitude of functions and endless opportunities for advancement. Member Services has proven to be a launching pad… more
    Fallon Health (11/03/25)
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  • SCO Nurse Case Manager - Hybrid - North…

    Fallon Health (Beverly, MA)
    …performing a member advocacy and education role including but not limited to member rights o Serves as an advocate for members to ensure they receive ... processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member ...and Medicare 5 Star measure processes, performing member education, outreach, and actions in conjunction with the… more
    Fallon Health (10/25/25)
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  • RN/Social Worker Case Manager ( Hybrid

    Henry Ford Health System (Troy, MI)
    …remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or treatment team responsible for the ... of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. + Knowledge… more
    Henry Ford Health System (10/25/25)
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