Description Position Overview: Are you passionate about helping others and delivering exceptional customer service? As part of the Member Advocate Team at MedOne, you'll be the friendly, knowledgeable voice assisting our members, pharmacies, and healthcare providers with their pharmacy benefits. We are especially encouraging candidates with an active Certified Pharmacy Technician (CPhT) certification to apply, as your expertise will be highly valued in this role. If you're a great communicator with stellar organizational skills, we want you on our team! About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. What You Will Do at MedOne: - Member Advocates are the primary source of information for members, pharmacies, and physicians via phone, email, and chat. - Provide information and resolve member, pharmacy, and physician inquiries. Research and resolve claim processing and eligibility issues - Serve as an intermediary between healthcare organizations and members in facilitating patient care - Compile and record information and correspondence related to member needs or requirements - Document engagement outcomes and steps taken with clarity and concision - Think quickly on one’s feet while navigating multiple systems to effectively engage with members - Work collaboratively and cooperatively with other departments to resolve issues and improve the member, physician, and pharmacy experience - Effectively work through difficult conversations with members while maintaining composure, showing empathy, and displaying active listening skills What you will bring to MedOne: - An active CPhT (Pharmacy Tech Certification) is highly encouraged but not required. - Minimum of 1 year of customer service experience. - Strong proficiency in Microsoft Office products. - Willingness to obtain certification as a pharmacy technician within one year of hire. - Excellent customer service and teamwork skills. - Flexibility with scheduling, including rotating Saturdays and evening shifts - Reliability and punctuality. - Spanish speaking abilities are highly valued for this role. Why Join MedOne? - Competitive salary and bonuses that reward your performance. - Comprehensive health, dental, and vision insurance. - 401(k) with company match to secure your future. - Generous paid time off and holidays. - Opportunities for professional growth and development. - A vibrant and collaborative work culture. Location: We have offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States. Employment Type: Full-Time, Hourly Hours: Hours may vary within our normal business hours. How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, especially if you have a CPhT certification, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page. MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Job Offers are contingent on passing a background check and drug screen.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The CXO Specialist is a role within our Office of the Chief Experience Officer focused on providing exceptional customer service to members who require additional expertise in resolving their inquiries. This position involves promptly addressing inquiries from the escalation and service recovery channels directed to our Chief Experience Officer. Plays a critical role in helping members navigate the complex healthcare system. Acts as an advocate, quickly build a rapport, listen to concerns, and strive to resolve them efficiently. Acts quickly with minimal guidance and is comfortable interacting with executive leadership. Qualifications - Minimum of two (2) years of customer service experience required - High School Diploma or GED required - Bachelor's degree preferred Requirements - Demonstrates knowledge in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries; serve as a ‘subject matter expert’ in the healthcare experience that our members navigate daily. - Additional subject matter expertise as a senior-level team member in workflows, product and/or business line, region, etc. - Conducts member outreach phone calls and/or receiving inbound phone calls within the department’s goal timeframe; successfully contact and manage to the member’s communication preferences as possible, which may include time of day, channel, and language; multi-lingual skills and/or utilize interpreter service as needed. - Collaborates with our partners – including other departments, supplemental benefit vendors, and provider network – to facilitate the member experience. - Identifies members targeted for care gaps and other campaigns and connect members to programs or services when appropriate; analyze available programs, determine program eligibility, and connect member to appropriate provider or vendor. - Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications as required; must enter member demographics and information with accuracy and attention to detail, i.e. feel responsible for the quality of our organizational data. - Excels in customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction. - Participates in required team meetings and training and exhibit satisfactory understanding of new information and process. - Assist with the development and training of new hires including shadowing. - Supports other projects and duties as assigned by Management. Benefits - Pay Range: $41,472.00 - $62,208.00 - Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING IL HEALTH PLAN MEDICAID. APPLICANTS MUST RESIDE IN THE STATE OF ILLINOIS. BACHELOR’S DEGREE IN HEALTH CARE FIELD STRONGLY PREFERRED. WORK SCHEDULE IS MONDAY – FRIDAY 8AM – 4:30PM. Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. - Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome - Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care - Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans - Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner - May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate - Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate - May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits - Other duties or responsibilities as assigned by people leader to meet the member and/or business needs - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: - Current state’s clinical license preferred Pay Range: $22.94 - $38.79 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants 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

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This fully remote opportunity allows you to work from anywhere while building a meaningful career in insurance and client services. You’ll help individuals and families protect what matters most—while managing your schedule and growth on your own terms. - Remote Work Flexibility: Work from anywhere with a schedule designed to support work-life balance. - Comprehensive Training & Support: Receive in-depth training on life insurance products, regulations, and best practices—no prior insurance experience required. - High-Quality Leads Provided: Focus on client conversations and solutions. All leads are pre-qualified and provided at no cost. - Career Advancement Opportunities: Grow within a well-established Fortune 500 organization with clear pathways for advancement and leadership development. - Supportive Team Environment: Benefit from mentorship, ongoing professional development, and a collaborative team culture focused on success. Key Responsibilities - Client Engagement: Connect with individuals who have requested information to understand their insurance needs and goals. - Education & Guidance: Explain policy options, benefits, and coverage clearly to help clients make informed decisions. - Quote & Solution Presentation: Prepare and present customized insurance solutions in a professional and easy-to-understand manner. - Relationship Building: Develop long-term client relationships to ensure satisfaction, trust, and retention. - Sales & Activity Tracking: Accurately document client interactions, sales activity, and follow-up actions. - Industry Awareness: Stay current on product updates, industry trends, and competitive offerings. Qualifications - Strong verbal and written communication skills - Ability to explain complex topics in a simple, relatable way - Self-motivated, goal-oriented mindset - Comfort building relationships and guiding clients through decisions - Willingness to learn insurance products and compliance requirements (training provided) Ready to Take the Next Step? If you’re excited to make a real difference while building a flexible, remote career with long-term potential, we’d love to hear from you. Apply today and start growing with a company committed to protecting families and supporting your success.