Member Retention Associate

Anticipated End Date:

Position Title: Member Retention Associate

Job Description:

Location: Washington D.C.

Hours: Standard Working hours

Travel: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.

Responsible for providing customer service to promote retention of members enrolled in Individual product lines. This candidate will be onsite at our Wellness center in Washington D.C.

• Provide information related to Covered Services, accessing care, and enrollment status
• Provide information on how to access services for mental health and substance use disorder
• Assist any Enrollee to file a Grievance or Appeal if the Enrollee Services staff is unable to resolve the issue
• Schedule appointments and arrange transportation and language access accommodations for medical appointments if requested and if necessary.
• The Contractor shall not restrict Enrollees’ access to this service and may not establish requirements that such requests be made more than five (5) calendar days in advance for non-EPSDT appointments and two (2) days for well-child visits and other Medically Necessary Services
• Assist Enrollees in selecting a PCP or PDP, or locating another Network Provider
• Provide information on contacting the Ombudsman for assistance with filing a Grievance or Appeal
• Schedule services and arrange transportation and language access accommodations necessary for pre-approved Out-of-Network Providers.
• The Contractor shall ensure that its Enrollee Services staff has access to current information about all Providers in the network, including mental health Providers.

• Requires a minimum of 3 years experience in life and health insurance sales and/or member services field; or any combination of education and experience which would provide an equivalent background.

• Previous experience with Member retention services strongly preferred
• Excellent communication and collaboration experience is a must
• Experience handling grievances strongly preferred
• Previous experience or exposure to health plan and Benefits strongly preferred
• Previous experience with Salesforce preferred

For candidates working in person or virtually in the below location(s), the hourly
* range for this specific position is $21.63/HR to $32.44/HR

Locations:
Washington D.C.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.

No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee.

Job Level: Non-Management Non-Exempt

Workshift: 1st Shift (United States of America)

Job Family: M  >
Membership & Enrollment Rep

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