Membership Representative II

Job Title: Membership Representative II
Work Location: Remote – must reside in one of the following states: AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI, or Client state.
Work Hours: 8:00 AM – 4:30 PM PST or CST
Language Requirement: Must speak Haitian or Haitian Creole

Job Description

The Member Advocate will conduct outreach to Medicare members to ensure they are well informed, supported, and confident in using their plan benefits. This role is responsible for member retention and onboarding by serving as a trusted resource and advocate.

Key Responsibilities:
Conduct retention outreach to existing members to explain upcoming plan changes and address concerns.
Provide personalized support to new Medicare members during the onboarding process.
Educate members on plan benefits, provider options, and resources available.
Serve as a navigator/advocate, resolving member questions and anticipating potential issues.
Accurately log all interactions in the required systems.
Participate in ongoing member benefits training with the health plan team.

Must-Have:
Fluent in Haitian or Haitian Creole
2+ years of experience in customer service, consumer advocacy, or healthcare systems
Medicare/Medicaid background strongly preferred
Ability to navigate multiple systems efficiently
Strong verbal and written communication skills
Experience in intake, interviews, and/or issue resolution
High School diploma (required)



Day-to-Day Responsibilities:
Outbound phone outreach to members to explain benefit changes
Provide support and education to ensure a positive member experience
Candidates MUST reside in one of the listed states.
Language fluency in Haitian/Haitian Creole is non-negotiable.
Ideal candidates have healthcare/Medicare call center experience and are comfortable in a fast-paced, member-facing role.

Preferred Experience:
Call center and/or work from home experience
Medicare and Duals program knowledge
Experience with Genesys, Salesforce, EPIC
Proficiency with Microsoft Office
Bilingual (additional languages a plus)