Quality Care Member Advocate

Centene is transforming the health of our communities, one person at a time. Join our team and help 28 million members improve their health outcomes through community engagement and care coordination.

The Community Quality Liaison serves as a crucial link between members and the healthcare system, focusing on identifying care gaps and ensuring members receive timely, appropriate care and support.

• Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources.
• Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow‑up care, and facilitate care coordination.
• Serve as a member advocate by helping individuals navigate complex healthcare and social service systems, assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements.
• Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives.
• Educate members on preventive care, chronic condition management, and available community resources.
• Document member interactions, care gap closures, and referrals in the appropriate systems.
• Partner with internal departments (e.g., Quality, Care Management, Provider Relations) to align efforts and improve member outcomes.
• Monitor and report on outreach effectiveness and care gap closure metrics.
• Maintain compliance with state and federal regulations and organizational policies.
• Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes.
• Serve as a community ambassador, building relationships with local organizations and stakeholders.
• Perform other duties as assigned.
• Comply with all policies and standards.

• Bachelor's Degree in Social Work, Public Health, Nursing, or a related field; or equivalent experience required.
• 2+ years in community health or healthcare quality required.
• Experience working with health plan members and navigating community resources required.
• Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required.
• Strong communication and interpersonal skills.

• LCSW – Licensed Clinical Social Worker preferred.

Hybrid position including field visits. Candidate must reside in New York; preference for candidates living in or near Upstate New York.

$27.02 – $48.55 per hour.

Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off and holidays, and a flexible approach to work with remote, hybrid, field or office schedules. Total compensation may also include additional incentive forms, subject to eligibility.

Centene is an equal contrato opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants(dir) will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

• Entry level

• Full‑time

• Legal

• Hospitals and Health Care