Centauri Health Solutions logo
Centauri Health Solutions

Based in Scottsdale, Arizona, Centauri Health Solutions is a privately held healthcare technology and services company offering cloud-based software solutions, data management, and

Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Customer AdvocateCustomer SuccessFull TimeRemoteMid LevelTeam 1,001-5,000

Location

United States

Posted

67 days ago

Salary

$18 - $25 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Remote Medicare & Medicaid Eligibility Specialist (Advocate)

Centauri Health Solutions

Who We Are Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission (What You’ll Do)  At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums.  We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.  You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.   - Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).  - The "Human Translator": Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions. When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.  - Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification. - Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards. - Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation.  - Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST) The Ideal Advocate (Who You Are) You are the person friends and family turn to when they need help with something complicated. - Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.  - Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.  - Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.  - Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust.  - Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions. The Reality of the Role (Transparency Matters) To thrive in this position, you should enjoy a structured, performance-driven environment. - High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls. - Scripted Excellence: To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process. - Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people. - Bonus: You will be eligible to receive bonus payments for exceptional performance. Why You’ll Love Centauri (Our Promise to You) We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals. - Comprehensive medical, dental, vision, and prescription coverage - Wellness program supporting overall well-being - Company-paid basic life and AD&D insurance - 401(k) plan with company match - Tuition reimbursement opportunities - Paid time off for vacation and illness - Six paid company holidays - Floating holiday - Company-paid training and computer equipment - Performance-based bonus program - Paid time off for volunteer activities - Employee referral bonus program - Career development and training opportunities, including leadership growth Compensation Transparency Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. Equal Employment Opportunity and Accommodation Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.

Related Job Pages

More Customer Advocate Jobs

Full TimeRemoteTeam 10,001+Since 1949H1B Sponsor

We anticipate the application window for this opening will close on - 15 Apr 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 25% of travel to enhance collaboration and ensure successful completion of projects. Careers That Change Lives Neuromodulation and Pelvic Health (NMPH) Customer Care seeks an experienced, dynamic Customer Service Specialist - Patient Advocate to support our outbound outreach contact center. In this role, you will convert patient leads by delivering best‑in‑class phone engagement, strong time and lead management, and in‑depth product knowledge to confidently address patient questions and guide patients through their care journey. The Patient Advocate plays a critical role in supporting the Pelvic Health and Neuromodulation organizations by delivering high‑quality customer service and driving meaningful patient engagement. This position involves analyzing available data to design effective pre‑call plans, proactively following up on patient leads through outbound calls, email, and SMS text messaging, and responding promptly to inbound patient callbacks. The role requires advancing potential and existing patients through the process while ensuring a consistent, empathetic, and positive customer experience. Patient Advocates work closely with field sales and field clinical teams to support patient engagement activities related to Medtronic’s portfolio of products. These activities may include lead follow‑up, clinic day scheduling, and supporting distributor order pull‑through. Success in this role depends on strong collaboration, effective communication, and the ability to balance outreach efficiency with a high standard of patient care. Responsibilities may include the following and other duties may be assigned. - Represents company to internal and external customers by responding to product‑related inquiries, delivering key messages, clarifying customer orders for shipment, and connecting customers with appropriate healthcare providers, support resources, or field staff. - Communicate with confidence, empathy, and excellent articulation across inbound and outbound interactions, demonstrating strong service‑oriented communication and active listening skills. - Build and maintain strong relationships with field partners to effectively support customers and achieve shared objectives. - Consistently meet individual targets by promptly following up on leads associated with campaigns and strategic initiatives. - May be required to manage a high daily call volume to reach outreach objectives. - Identify process gaps, challenges, and improvement opportunities; contribute to or lead project‑based efforts that enhance efficiency and customer experience. - Analyze and resolve routine and complex issues by identifying root causes and applying effective problem‑solving approaches. - Accurately document all customer interactions, outreach activities, and follow‑up notes in the customer relationship management system. - Adhere to all corporate and operating unit policies and procedures, including timely and accurate documentation of identified quality assurance concerns or complaints. - Travel: May travel up to 25% for required training Must Have: Minimum Requirements TO BE CONSIDERED FOR THIS ROLE, PLEASE BE SURE THE MINIMUM REQUIREMENTS ARE EVIDENT ON YOUR RESUME - Requires High School Diploma or equivalent with 4 years of work experience in customer service or technical product support (OR an Associate's Degree with 2+ years experience OR a Baccalaureate Degree with 1+ year(s) experience). Nice to Have - Medical Device product knowledge - Anatomy and physiology knowledge and expertise - Advanced verbal and written communication skills - Previous experience as a team leader, manager, supervisor, mentor, or trainer - Previous experience in a high-volume healthcare or medical device call center environment - Strong attention to detail by being exact, precise, and accurate in messaging and note-taking - Experience with utilizing Salesforce CRM and Five9 For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.  The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. U.S. Work Authorization & Sponsorship At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment. Join us in our mission to alleviate pain, restore health, and extend life—where your unique background and perspective are valued. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Salary ranges for U.S (excl. PR) locations (USD):$53,600.00 - $80,400.00 This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others). The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums). Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico. Further details are available at the link below: Medtronic benefits and compensation plans About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here. It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

United States
$53.6K - $80.4K / year
Job Closed
BlueCross BlueShield of Tennessee logo

CHOICES Consumer Advocate- East Grand Region

BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

Full TimeRemoteTeam 5,001-10,000Since 1952H1B Sponsor

Our CHOICES Member Advocacy team is hiring for a Consumer Advocate! We are seeking a passionate and solutions‑driven Member Advocate who is committed to elevating the voice of TennCare CHOICES members and strengthening the quality of Long‑Term Services and Supports across our community. In this role, you will serve as a trusted navigator, problem‑solver, and program champion—helping members access services, resolve concerns, understand their rights, and stay safe and supported in the settings they call home. You will lead key member‑facing initiatives, including the facilitation of member Advisory Board meetings and forums, stakeholder discussions, and work collaboratively to bring resolution to member issues or concerns, ensuring that member experiences and feedback shape program improvements. Your work will also drive quality at a system level through conducting quality of life surveys, analysis of member feedback, and collaboration with TennCare and statewide partners to strengthen outcomes and advance person‑centered practices. This position is ideal for someone who wants to make a measurable impact on how older adults and individuals with disabilities experience care, dignity, and choice across Tennessee. To be successful in this role, you will need: - Strong advocacy skills - Strong organizational skills, demonstrated through past experience planning meetings and events - Strong communication and relationship building skills, demonstrated through meeting facilitation and experience building relationships in diverse community settings - Critical thinking and analysis skills, with demonstrated experience identifying root causes and solving tough problems in previous roles - Empathy and a desire to help others. Ideally, you'll have experience with the senior population or individuals with disabilities. Notes: - This is a remote job that may require some weekend work and minimal overnight travel. - Sponsorship is not available for this role. - We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. Job Responsibilities - Utilizes expertise to assist in resolution of member associated concerns regarding the safety and well-being of the member. - Serves as ex officio member of the Advisory Group, responsible for coordinating, oversee order fulfillment, taking meeting minutes and documenting action items for follow-up and facilitating the Quarterly Advisory Group meetings, community forums and makes recommendations regarding potential changes to the Program - Spearheads and coordinates quality initiatives and comprehensive prevention outreach programs; ensures successful completion of assigned projects and monitoring the processes to ensure compliance with quality level and regulations and to reduce the business or fraud risk exposed to company. - Serves as the internal representation of these members interests, including, but not limited to, input into planning and delivery of services for members receiving either Behavioral Health Services or long term services and supports and/or individuals with intellectual and developmental disabilities, program monitoring and evaluation, and member, family, and provider education; Serves as an Advocate in assisting members or member representatives with navigating through program processes. - Ability to travel with short notice which may include overnight stays Job Qualifications Education - Bachelors degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or related field; or equivalent work experience required. Experience - 3 years - Experience in Medicare/Medicare SNP or Medicaid/Medicaid SNP programs required; depending on the department. Skills\Certifications - Knowledge of educational programs, including research projects, extra-curricular activities, and academic planning; ability to manage these programs. - Ability to conceive and deliver innovative solutions - Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. - Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) - Proven ability to research independently and make sound decisions is required - Must be a team player, be organized and have the ability to handle multiple projects - Excellent oral and written communication skills - Strong interpersonal and organizational skills - Strong analytical skills License - Valid Driver's License Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

United States
BlueCross BlueShield of Tennessee logo

CHOICES Consumer Advocate- West Grand Region

BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

Full TimeRemoteTeam 5,001-10,000Since 1952H1B Sponsor

Our CHOICES Member Advocacy team is hiring for a Consumer Advocate! We are seeking a passionate and solutions‑driven Member Advocate who is committed to elevating the voice of TennCare CHOICES members and strengthening the quality of Long‑Term Services and Supports across our community. In this role, you will serve as a trusted navigator, problem‑solver, and program champion—helping members access services, resolve concerns, understand their rights, and stay safe and supported in the settings they call home. You will lead key member‑facing initiatives, including the facilitation of member Advisory Board meetings and forums, stakeholder discussions, and work collaboratively to bring resolution to member issues or concerns, ensuring that member experiences and feedback shape program improvements. Your work will also drive quality at a system level through conducting quality of life surveys, analysis of member feedback, and collaboration with TennCare and statewide partners to strengthen outcomes and advance person‑centered practices. This position is ideal for someone who wants to make a measurable impact on how older adults and individuals with disabilities experience care, dignity, and choice across Tennessee. To be successful in this role, you will need: - Strong advocacy skills - Strong organizational skills, demonstrated through past experience planning meetings and events - Strong communication and relationship building skills, demonstrated through meeting facilitation and experience building relationships in diverse community settings - Critical thinking and analysis skills, with demonstrated experience identifying root causes and solving tough problems in previous roles - Empathy and a desire to help others. Ideally, you'll have experience with the senior population or individuals with disabilities. Notes: - This is a remote job that may require some weekend work and minimal overnight travel. - Sponsorship is not available for this role. - We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. Job Responsibilities - Utilizes expertise to assist in resolution of member associated concerns regarding the safety and well-being of the member. - Serves as ex officio member of the Advisory Group, responsible for coordinating, oversee order fulfillment, taking meeting minutes and documenting action items for follow-up and facilitating the Quarterly Advisory Group meetings, community forums and makes recommendations regarding potential changes to the Program - Spearheads and coordinates quality initiatives and comprehensive prevention outreach programs; ensures successful completion of assigned projects and monitoring the processes to ensure compliance with quality level and regulations and to reduce the business or fraud risk exposed to company. - Serves as the internal representation of these members interests, including, but not limited to, input into planning and delivery of services for members receiving either Behavioral Health Services or long term services and supports and/or individuals with intellectual and developmental disabilities, program monitoring and evaluation, and member, family, and provider education; Serves as an Advocate in assisting members or member representatives with navigating through program processes. - Ability to travel with short notice which may include overnight stays Job Qualifications Education - Bachelors degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or related field; or equivalent work experience required. Experience - 3 years - Experience in Medicare/Medicare SNP or Medicaid/Medicaid SNP programs required; depending on the department. Skills\Certifications - Knowledge of educational programs, including research projects, extra-curricular activities, and academic planning; ability to manage these programs. - Ability to conceive and deliver innovative solutions - Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. - Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) - Proven ability to research independently and make sound decisions is required - Must be a team player, be organized and have the ability to handle multiple projects - Excellent oral and written communication skills - Strong interpersonal and organizational skills - Strong analytical skills License - Valid Driver's License BBEX, Grade 10, QIP ** Field worker position will work from home after training is complete. Memphis, Jackson or surrounding area candidates only or must be willing to relocate** Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

United States
Aerospike logo

Senior Customer Success Advocate

Aerospike

The real-time data platform: Act in real time across billions of transactions while reducing your server footprint.

Full TimeRemoteTeam 51-200Since 2012H1B Sponsor

• Conduct quarterly business reviews (QBRs) for each assigned account, aligning on business objectives, product utilization, upcoming initiatives, and any risks and/or roadblocks • Deliver annual cluster health checks for each assigned account assessing customers' Aerospike deployments for performance, scalability, and best practice adherence, and providing actionable insights and recommendations • Monitor and report on account health synthesizing signals from product usage, support ticket trends, stakeholder engagement, and direct customer feedback to provide leadership with a clear view of portfolio health and risk • Proactively identify and flag at-risk accounts working cross-functionally with Sales, Support, Product, and Engineering to develop mitigation plans before issues escalate • Act as the customer's internal advocate channeling feedback and feature requests to Product and Engineering and ensuring the customer's voice is represented in roadmap conversations • Enable customer success by connecting customers with relevant resources, documentation, best practices, and internal subject matter experts to accelerate adoption and optimize their use of Aerospike • Build and maintain stakeholder relationships across both technical and business contacts within each account, expanding Aerospike's footprint of trusted relationships beyond a single point of contact • Document all customer interactions in Salesforce and other internal systems maintaining accurate records of engagement history, health assessments, and action items • Collaborate closely with Sales to ensure alignment on account, stakeholder, and renewal strategy

United States
Job Closed