Dual Eligible Engagement Specialist

Centene Corporation • Remote-PA, PA

8d

About The Position

Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries, serving as the primary engagement owner responsible for conversion, onboarding, early member retention, and ongoing engagement. Act as a dual-eligible subject matter expert and coordinate with internal and external partners to improve member alignment, engagement, quality outcomes, and retention.

The candidate must reside in the greater Philadelphia or Pittsburgh area, be comfortable with travel and some weekend work, and be authorized to work in the United States without current or future employment-based visa sponsorship. Medicare sales experience is highly preferred.

Requirements

• High school diploma or GED, or equivalent.
• At least 2 years of experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination.
• State Accident & Health Insurance license required upon hire.
• Current state driver's license required upon hire.
• Must reside in the greater Philadelphia or Pittsburgh area.
• Must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship.
• Must be comfortable with travel and working some weekends.

Nice To Haves

• Medicare sales experience is highly preferred.
• Experience working with underserved or dual-eligible populations.
• Bilingual in Spanish or another relevant language.

Responsibilities

• Manage an assigned panel of dual-eligible members by developing engagement plans aligned with eligibility status, readiness, market priorities, and individual needs, supporting onboarding, retention, and ongoing engagement.
• Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships.
• Assess member needs and provide education on Medicare and Medicaid coordination, D-SNP benefits, and available resources.
• Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations.
• Serve as the initial point of contact for newly enrolled members and assist them with accessing services and addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention.
• Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being.
• Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement.
• Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements.
• Complete required certifications and training programs.
• Perform other duties as assigned.
• Comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k) and stock purchase plans
• Tuition reimbursement
• Paid time off and holidays
• Flexible approach to work, with remote, hybrid, field, or office work schedules
• Additional forms of incentives may be included in total compensation, subject to applicable factors and eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED