Member Advocate I

Centene Corporation

Member Advocate supporting Illinois healthcare members through Centene’s health plan services. Resolving grievances, access barriers, and cultural sensitivity issues while promoting member education.

Posted 9/10/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $19 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Member Advocacy, ensuring access to care while maintaining confidentiality per HIPAA guidelines. Proficient in resolving systemic barriers and addressing Member complaints within a healthcare environment.

Highest-signal resume keywords

Member AdvocacyCustomer Service ExperienceHIPAA ComplianceMedicare ExperienceMedicaid Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Customer ServiceGrievance ResolutionAccess Barrier IdentificationEducational Material DevelopmentCultural Sensitivity Investigation

Soft Skills

CommunicationProblem SolvingCommunity Engagement

Industry Keywords

Healthcare EnvironmentMember EducationConfidentialityIllinois ResidencyHealth Plan Liaison

About the role

Key responsibilities & impact

Act as an advocate for Members and liaison between the Health Plan and Providers to ensure availability and access to care
Establish a community presence and promote Member education
Identify and resolve systemic barriers limiting Members’ access to appropriate care
Receive and respond to Member complaints and formal grievances
Identify potential access barriers and resolve them according to 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 understand Members’ special health care needs
Update and revise educational materials as appropriate
Serve as primary contact for Member advocacy groups, human services agencies and State entities
Maintain confidentiality per HIPAA guidelines

Requirements

What you’ll need

Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future
Must live in the state of Illinois
High school diploma or equivalent
3+ years of customer service experience in a healthcare environment
Medicare and/or Medicaid experience preferred
Ability to maintain confidentiality per HIPAA guidelines

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plan
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity