Dual Eligible Engagement Specialist
Core
Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries, driving conversion, onboarding, early member retention, and ongoing engagement.
Role type
Dual-eligible engagement specialist (field/member services)
Builds
Member alignment, engagement, quality outcomes, and retention for dual-eligible populations
Domain
Healthcare / Medicare & Medicaid / Dual-eligible populations
Deliverable
client delivery
Required skills
Member engagement, outreach (phone/in-home/community), Medicare/Medicaid coordination, enrollment facilitation, compliance with CMS regulations, resource coordination, documentation
Preferred skills
Medicare sales experience, experience with underserved/dual-eligible populations, bilingual (Spanish)
Technologies
None stated
Responsibilities
Develop engagement plans aligned to eligibility status and individual needs; Conduct outreach through phone, in-home visits, and community events; Assess member needs and provide education on benefits and resources; Facilitate enrollment, benefit discussions, and applications; Serve as initial point of contact for newly enrolled members; Promote participation in health improvement programs; Collaborate with internal teams, providers, and community organizations; Maintain accurate documentation of interactions and outcomes
Seniority
Mid-level, hands-on IC
