Member Engagement Specialist

Location: California Residents Only

Employment Type: Hybrid

Compensation: $21.00-$24.00 per hour

Schedule: Monday through Friday | 8:30 AM - 5:00 PM

Reports To: Member Engagement Manager

At Pacific Health Group, we care deeply about the people and communities we serve. We meet individuals with kindness, respect, and understanding—listening first, honoring each person's journey, and offering support without judgment. Through compassionate, person-centered healthcare, behavioral health services, and social supports, we walk alongside people as they work toward healing, stability, and a healthier, more hopeful life.

• Speak with integrity—clear, respectful, and honest in every interaction
• Embrace innovation by trying new ideas, learning quickly, and continuously improving care
• Own our roles by staying accountable for outcomes and documenting accurately
• Build genuine connections with members, families, teammates, and community partners through empathy and cultural sensitivity
• Lead with trust by being consistent, transparent, and following through
• Celebrate wins together by recognizing both individual and team achievements
• Collaborate with purpose across departments, health plans, providers, and community organizations
• Ask for support and offer support because thriving together is how we best serve our members

• The Member Engagement Specialist serves as the first point of contact for prospective Pacific Health Group members. This role is responsible for conducting outbound outreach, educating eligible individuals about the various programs offered through Pacific Health Group, facilitating enrollments, assisting with Medi-Cal applications when appropriate, and ensuring a seamless transition into services.
  
  The primary responsibility of this position is conducting outbound phone outreach to members referred by health plans, providers, hospitals, correctional facilities, and community organizations. Member Engagement Specialists build rapport, educate members on available services, assist with enrollment, coordinate justice-involved and community-based warm handoffs, and ensure members are successfully connected with Lead Care Managers for ongoing care coordination
• This role also supports Medi-Cal and Benefits Cal applications, maintains strong relationships with referral sources, and represents Pacific Health Group at community outreach events to promote awareness of available services.
  
  Success in this position requires exceptional communication skills, compassion, persistence, strong organizational abilities, and a genuine passion for improving access to care for underserved populations

• The Member Engagement Specialist plays a vital role in connecting vulnerable individuals with healthcare and social services that can improve their quality of life. As the first interaction many members have with Pacific Health Group, this role sets the tone for the member experience by creating trust, reducing barriers to care, and ensuring eligible individuals receive timely access to ECM, CS, and other services

What Success Looks Like: A successful Member Engagement Specialist consistently generates new member referrals through proactive community presence, maintains strong relationships with partner organizations, and ensures every individual they meet feels welcomed and supported in connecting to PHG services.

• Conduct outbound telephone outreach to prospective members referred by health plans, providers, hospitals, correctional facilities, community organizations, and other referral sources
• Educate prospective members on Enhanced Care Management (ECM), and other available PHG services
• Build rapport and establish…