Member Advocate I (168760)
 Professional Management Enterprises | |
 United States, Indiana, Indianapolis | |
| 9245 North Meridian Street (Show on map) | |
 Dec 02, 2025 | |
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Summary: 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.This is a hybrid role. Four weeks of in-office training required, then would transition to being on rotation for working in office (one week, every five weeks). Job Title: Member Advocate I Location: 429 N. Pennsylvania St, Ste 109, Indianapolis, IN 46204 Hours: 8am - 5pm Mon-Fri **Weekly Pay** Job Responsibilities: * 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. Education/Experience: High school diploma or equivalent. 3+ years of customer service experience in a healthcare environment. Medicare and/or Medicaid experience preferred. Bilingual in Spanish preferred | |