Member Services (Salt Lake City)

We are seeking a Member Services (Care Guide) to join our team in Salt Lake City, Utah. You will genuinely care about helping others, can handle complex or emotional situations with empathy, and take pride in creating successful outcomes for every patient or provider you support.

Requirements

• Engage with members to understand their healthcare needs, preferences, and barriers.
• Provide personalized recommendations for providers, specialists, and community resources.
• Educate members on navigating the healthcare system and understanding facility options within their market.
• Stay informed about local provider networks, clinics, hospitals, and support services.
• Partner with internal teams such as Case Management, Behavioral Health, and Provider Relations to ensure seamless care.
• Track referrals and follow up to ensure timely access and member satisfaction.
• Document all member interactions in our care management platform with accuracy and confidentiality.
• Identify and escalate trends or barriers impacting member access or satisfaction.
• Provide feedback to enhance network adequacy, resource listings, and communication tools.
• Serve as an advocate for members, helping them understand their benefits and make informed decisions.
• Proactively reach out to high-need or at-risk members to close gaps in care and improve outcomes.

Benefits

• Competitive salary
• Comprehensive benefits package
• Opportunities for professional growth and development