Partnership Engagement Advisor
About The Position
The Partnership Engagement Advisor supports the Community Supports Division by managing health plan communications, member eligibility submissions, and the full reauthorization process. The role serves as a liaison between managed care organizations (MCOs), members, and internal teams to help ensure timely authorizations, uninterrupted services, and a positive member experience. The advisor works with Community Development, Operations, health plans, and strategic partners to coordinate member engagement, manage incoming communications, and support access to non-medical caregiving services. This is a hybrid position, with attendance at the El Segundo office once per quarter. Business hours are 8:00 a.m. to 6:00 p.m. Pacific Time; depending on the position and business needs, employees may be required to work any scheduled shift within those operating hours.
Requirements
- Experience managing customer inquiries, coordinating follow-up, or supporting multistep service processes.
- Proficiency in Microsoft Office, including Word, Excel, and Outlook.
- Skills in health plan coordination, eligibility verification, and reauthorization management.
- Strong written and verbal communication and relationship-building skills.
- Organization, time management, and attention to detail.
- Customer service, problem-solving, and proactive follow-through.
- Cross-functional collaboration, adaptability, and accurate documentation.
Nice To Haves
- BA/BS degree in Communications or a related field.
- 1–2 years of sales or customer service experience.
- Knowledge of Salesforce or Salesforce Voice.
- Bilingual Spanish.
Responsibilities
- Manage managed care organization (MCO) submissions and eligibility verification, ensuring member information is submitted accurately and on time, monitoring pending requests, and following up with health plan partners.
- Oversee the reauthorization process, including member outreach, care assessments, documentation collection, and coordination with health plans to prevent service interruptions.
- Monitor and manage communications across email, Salesforce cases, health plan portals, and referral systems, routing requests to appropriate team members for resolution.
- Collaborate with internal teams, members, caregivers, and external partners to resolve eligibility concerns, communicate service updates, and support targeted engagement initiatives.
- Maintain accurate member, referral, and activity records in Salesforce while complying with healthcare regulations, established workflows, and performance expectations.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
