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Member Advocate I

Company: Centene Coproration
Location: Charlotte
Posted on: December 5, 2019

Job Description:

Description: Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care. Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure. Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients. Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate. Serve as primary contact for Member advocacy groups, human services agencies and the State entities. Maintain confidentiality per HIPAA guidelines.

Keywords: Centene Coproration, Charlotte , Member Advocate I, Other , Charlotte, North Carolina

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