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Member Advocate Jobs (NOW HIRING)

Birmingham

Member Advocate

Birmingham, AL · On-site

The goal is to engage and establish a relationship with the member to resolve benefit issues and encourage the member to take steps to improve their health. The goals are to take action to assist ...

OnPath Credit Union

Digital Member Advocate

Metairie, LA · On-site

$17 - $23.77/hr

We are looking for a Digital Member Advocate to join our team! The hourly range for this position is $17.00 to $23.77 based on skills and experience. This position is classified as On-site. Role ...

OnPath Credit Union

Digital Member Advocate

Metairie, LA · On-site

$17 - $23.77/hr

We are looking for a Digital Member Advocate to join our team! The hourly range for this position is $17.00 to $23.77 based on skills and experience. This position is classified as On-site. Role ...

Senture

Healthcare Member Advocate

Member Advocates will be responsible for handling both inbound and outbound calls to support our healthcare client. In this role, advocates are expected to deliver exceptional customer service by ...

Senture

Healthcare Member Advocate

Member Advocates will be responsible for handling both inbound and outbound calls to support our healthcare client. In this role, advocates are expected to deliver exceptional customer service by ...

NOCD

Director of Member Advocate Services

Chicago, IL · On-site

$125K - $170K/yr

About The Role The Director of Member Advocate Services is a senior operational and people leader responsible for the strategy, performance, and scalability of NOCD's Member Advocate Services Team.

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How much do member advocate jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for member advocate in the United States is $21.66, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Member Advocate vs Customer Service Representative?

AspectMember AdvocateCustomer Service Representative
Required CredentialsHigh school diploma or equivalent; some roles may prefer experience in healthcare or insuranceHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentHealthcare, insurance, or membership organizations; often in office settingsCall centers, retail, or office settings across various industries
Employer & Industry UsageHealthcare plans, insurance companies, membership organizationsRetail, telecommunications, banking, and other service industries
Common Search & Comparison IntentUnderstanding roles in healthcare or insurance sectorsGeneral customer support roles across industries

While both roles involve assisting customers or members, a Member Advocate typically works within healthcare or insurance organizations, focusing on member needs and benefits. A Customer Service Representative has a broader role across various industries, handling general inquiries and support. The roles share similar credentials but differ mainly in industry focus and specific responsibilities.

What skills do member advocates need?

Member advocates need strong communication and interpersonal skills to effectively assist members and resolve issues. They should have good problem-solving abilities, patience, and familiarity with customer service tools or CRM systems. Attention to detail and the ability to work in a team environment are also important for success in this role.

What is a member advocate?

Member Advocates are professionals who act as liaisons between an organization and its members, ensuring that members' needs, concerns, and interests are addressed. They often work in sectors such as healthcare, insurance, or credit unions, providing support, answering questions, and helping members navigate services or resolve issues. The goal of a Member Advocate is to enhance member satisfaction and foster positive relationships by offering personalized assistance and ensuring members feel valued. Their duties may include handling inquiries, educating members about benefits, and advocating on their behalf within the organization.

What are the key skills and qualifications needed to thrive as a member advocate, and why are they important?

To thrive as a Member Advocate, you need strong interpersonal skills, problem-solving abilities, and a background in customer service or social work, often supported by a relevant degree or experience. Familiarity with customer relationship management (CRM) systems, case management tools, and sometimes certifications in advocacy or counseling are typically required. Excellent communication, empathy, and conflict resolution skills help you effectively support and represent members' interests. These skills are crucial for building trust, ensuring member satisfaction, and resolving issues efficiently.

Do I need a degree to be a member advocate?

A member advocate position typically does not require a college degree, but employers often prefer candidates with a high school diploma or equivalent. Strong communication skills, customer service experience, and familiarity with relevant software are important for this role.

How does a member advocate typically collaborate with other departments to resolve member issues?

Member Advocates often work closely with departments such as customer service, claims, and technical support to address and resolve member concerns efficiently. Collaboration may involve coordinating with team leads, attending cross-departmental meetings, and escalating complex cases to subject matter experts. This collaborative approach ensures members receive accurate information and timely solutions, while also providing advocates with opportunities to learn from other areas of the organization. Effective communication and teamwork are essential skills for success in this role.
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Member Advocate jobs near you
Infographic showing various Member Advocate job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $45,058 per year, or $21.7 per hour.

Member Advocate

Birmingham

Birmingham, AL • On-site

Full-time

Re-posted 7 days ago

Job description

BASIC FUNCTIONS:

The incumbent is responsible for providing efficient, prompt, and professional service to members for any health and benefit related issues. The incumbent will have a thorough knowledge of benefits and the claims process.

In addition, the incumbent provides support in the Health Management area by screening referrals for Member Management services based on established guidelines. The goal is to engage and establish a relationship with the member to resolve benefit issues and encourage the member to take steps to improve their health. The goals are to take action to assist members to obtain a primary care physician and/or close gaps in care to improve their health.

PRIMARY RESPONSIBILITIES:
  • Explain and resolve claims/benefit issues
  • Provide resolution of medical education
  • Assist in navigating health care system
  • Provide preventive service reminders
  • Schedule appointments and services with providers
  • Assist in the coordination of services such as transportation and recommend programs and services

The incumbent collaborates with team members (care coordinators, medical directors, and claims specialists) to meet the member's health care needs and resolve claims issues. The incumbent cooperates with manager and employees when joint endeavors are required to achieve departmental goals.

The incumbent must possess excellent communication skills to diffuse situations and resolve problems. The incumbent must effectively articulate with physicians, members and families. The incumbent demonstrates empathy, compassion and has a basic understanding of cultural and socioeconomic backgrounds. The skill to communicate effectively with many types of people in delicate, frustrating, or tense situations is required.

The incumbent is responsible for obtaining accurate information and referring members to member management services based on guidelines. The incumbent must possess excellent problem solving skills and have excellent organizational skills. The incumbent must be an independent thinker and work via written or oral communication with the member/family, physician, providers, vendors, claims and other department within the Company.

The incumbent gathers pertinent information regarding a member's benefit or health concern to assist in resolving any benefit or health related issues.

The incumbent communicates with members, providers and vendors to obtain information to assist in providing resolution to member's benefit or health issues.

The incumbent schedules appointments with primary care providers to assist the member in establishing a primary care provider, closing gaps in care and assisting in improving health care.

The incumbent provides education regarding preventive care and chronic conditions to close gaps in care and assist in improving health care.

The incumbent encourages appropriate use of facilities and services to improve quality of care and maintain cost effectiveness.

The incumbent responds to requests for information from members, providers, vendors and group representatives (within the scope of PHI) to resolve benefit and/or health related issues.

Accomplishes all assigned job functions in a manner that optimizes departmental effectiveness while maintaining confidentiality

SUMMARY OF QUALIFICATIONS
  • Required
    • High School Diploma or equivalent
    • Bachelor's degree in a health related area or upon hire commit to actively pursue a bachelor's degree in a health related area
    • 2 years of experience in a clinical setting (i.e. physician's office, clinic, hospital, home health) familiar with health benefit plans, or 2 years of experience working in health and wellness promotion
    • Analytical skills to probe and determine root cause of problems to facilitate resolution of issue
    • Strong customer service skills and superior phone skills
    • Effective verbal and written communication skills
    • Proficient computer skills
  • Preferred
    • Experience as a Licensed Practical Nurse (LPN) or Health Educator/Promoter
    • Social work experience

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