Provider​/Member Advocate, West Virginia Senior Advantage

Job Address: 700 Chappell Road Charleston, WV 25304

West Virginia Senior Advantage, a Communi Care 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.

Member Advocates are dedicated to assisting our members with care navigation and enrichment to maximize the member healthcare experience. Member Advocates will personalize their advocacy approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members in making healthcare decisions that are right for them and their families.

Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including:

• Life Insurance LTD/STD Medical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts

Required:

2+ years working in similar role Expert/Highly Skilled with computer skills:
Windows-based applications and Microsoft applications Ability to travel throughout the designated local territory 90% of the work time. Advanced organizational and communication skills Four-year advanced degree or equivalent work experience in healthcare payors, social services field, advocacy, customer relations, or other related industry 2+ years healthcare experience or educational equivalent Skill in establishing priorities with independent coordination of day-to-day duties Function independently and responsibly with minimal need for supervision

Preferred Qualifications:

Ability to develop and manage relationships Credentialing or Provider Relations experience Health plan experience Ability to manage multiple priorities Understanding of healthcare structures Understanding and experience with insurance and/or billing Experience in long term care Experience with medical terminology

• Must have strong oral and written communication skills.
• Must be detail oriented with an ability to work well both independently and in a team setting.
• Strong time management skills required.
• Must be able to prioritize and adhere to competing deadlines.
• Must be proficient with computer skills and Microsoft applications.

Since 1984, Communi Care Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. Communi Care employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania).

As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities.

Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.