Member Care Concierge
Location: 100% Remote (Eastern Time Zone Only)
Job Type: Contract: Until the end of the year.
Work Authorization: Must be authorized to work in the United States
Schedule: Standard business hours
About Tenavi Staffing
Tenavi Staffing partners with organizations to deliver execution-ready talent that makes an immediate impact. Our focus is simple: strong relationships, quality talent, and successful outcomes.
We connect healthcare organizations with professionals who bring empathy, accountability, and operational excellence to every member interaction.
Overview
We are seeking a compassionate and service-driven Member Care Concierge to support Medicare Advantage members through personalized healthcare navigation and member engagement. This role serves as a key connection point between members, providers, and health plan operations teams to help ensure a smooth and supportive healthcare experience.
The ideal candidate is organized, proactive, and comfortable guiding members through benefits, appointments, referrals, and care coordination needs while delivering a high level of customer service. This position plays an important role in improving member satisfaction, engagement, and quality outcomes.
Key Responsibilities
โข Provide personalized support to Medicare Advantage members regarding healthcare coverage, care coordination, and wellness resources
โข Conduct proactive outbound outreach to engage members and support ongoing healthcare needs
โข Follow up on assigned member cases to ensure timely resolution and quality service
โข Assist members with scheduling appointments with primary care providers and specialists
โข Educate members on gaps in care and preventive health opportunities
โข Serve as a liaison between members, providers, and internal health plan teams
โข Coordinate appointment reminders, confirmations, referrals, and authorization support
โข Respond to inbound member inquiries related to eligibility, benefits, provider access, pharmacy questions, and care coordination
โข Support updates related to primary care physician changes and member information
โข Document interactions accurately and maintain compliance with company policies and standard operating procedures
โข Communicate member updates and concerns to providers and care teams as needed
โข Support overall member engagement and retention initiatives
โข Perform additional duties as assigned
Required Qualifications
โข Certified Medical Assistant (CMA) or equivalent healthcare certification preferred
โข Minimum 1 year of healthcare experience
โข Minimum 1 year of customer service or member support experience
โข Strong communication and interpersonal skills
โข Ability to navigate sensitive conversations with professionalism and empathy
โข Comfortable handling high-volume phone outreach and member interactions
โข Strong organizational skills and attention to detail
โข Proficiency with Microsoft Office and healthcare systems/documentation tools
Preferred Qualifications
โข Experience supporting Medicare Advantage or managed care populations
โข Background in care coordination, patient access, scheduling, or member services
โข Familiarity with referrals, authorizations, and healthcare navigation workflows
โข Experience working in a remote or call center environment
What Success Looks Like
โข Members feel supported, informed, and connected throughout their healthcare journey
โข Timely follow-up and issue resolution across assigned cases
โข Strong member engagement and satisfaction outcomes
โข Accurate documentation and effective communication across care teams
โข Consistent professionalism and compassionate member support
Interested in Learning More?
- Apply directly or contact Tenavi Staffing to discuss this opportunity.