Member Engagement Specialist

Member Engagement Specialist

Work Remote if you reside within WA, OR, ID, UT

Outside these states will not qualify

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.  

Who We Are Looking For:

Every day, Cambia’s dedicated team of Member Engagement Specialist are living our mission to make health care easier and lives better. The Member Engagement Specialist provides member outreach to remove barriers, assist and support education about benefits, preventative health screenings, and community resources as part of specific initiatives or care management programs.

Member Engagement Specialists encourages engagement in health-related activities and programs and provide appropriate referrals to case management and/or other internal or external services and resources. Provide excellent and caring services to all internal and external customers. All in service of making our members health journey easier.

Are you a person who can engage with members in their healthcare journey to meet unique needs? Can you evaluate and overcome challenges to achieve a positive outcome? This role may be the perfect fit for you!

What You Bring to Cambia:

Qualifications:

• High School Diploma

• 1 year customer service such as call center, insurance, hospital or provider medical office, Prior health plan Customer Service or equivalent combination or education with medical Preferred

• CNA CMA certification preferred, but not required

Skills and Attributes:

• Strong communication skills, with ability to interact with diverse individuals on sensitive topics, and provide excellent customer service through courteous telephone etiquette, listening, and empathy.

• General organization, data entry, and administrative skills, with proficiency in Microsoft Office, Outlook, and Internet search, and ability to handle multiple tasks and prioritize workload.

• Ability to work independently, prioritize work, meet deadlines, and achieve operational standards, with creative problem-solving skills and ability to research and refer to others as needed.

• Basic knowledge of medical terminology and familiarity with disease and lifestyle topics, with ability to adapt to a fast-paced environment and learn, retain, and interpret new information.

• Ability to make decisions and exercise good judgment in a complex and rapidly changing environment, with ability to work under stress and pressure and respond to inquiries with tact and diplomacy.

• Work in a team environment, demonstrating initiative in researching and resolving issues along with prioritizing work to meet deadlines and achieve operational standards.

• Exercise discretion on sensitive and confidential matters, with ability to communicate effectively orally and in writing.

What You Will Do at Cambia:

• Outreach and Engagement: Initiates outbound calls or emails to members for Care Management Programs, utilizing motivational interviewing to encourage engagement in health-related activities.

• Education and Support: Educates members on benefits, tools, and resources to support preventive screenings, discharge and treatment plans, and adherence to nationally recognized guidelines.

• Care Coordination: Collaborates with Care Managers to identify member needs, referring to licensed clinical staff and resources as necessary to ensure comprehensive care.

• Platform Management: Utilizes care management platforms to record and track member interactions, ensuring accurate and up-to-date information.

• Interdisciplinary Collaboration: Works with Care Managers and licensed clinical staff to ensure seamless care coordination and support for members.

#LI-remote

The starting hourly wage for the Member Engagement Specialist role is $23.00-$28.00/hour, depending on candidate's geographic location, certification and experience.  Full pay range for the Member Engagement Specialist role is $19.00-$34.40 an hour.

The annual incentive payment target for this position is 5%.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care.  Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:  

• Work alongside diverse teams building cutting-edge solutions to transform health care.  
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
• Grow your career with a company committed to helping you succeed. 
• Give back to your community by participating in Cambia-supported outreach programs.  
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
• Annual employer contribution to a health savings account.  
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
• Award-winning wellness programs that reward you for participation. 
• Employee Assistance Fund for those in need. 
• Commute and parking benefits. 

Learn more about our benefits. 

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.