Dual Eligible Engagement Specialist
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Before you apply
LocationRemote-PA
Also inPhiladelphia, PA; Pittsburgh, PA
Work moderemote · United States
Typefull-time
SeniorityMid
Experience2+ yrs
EquityIncluded
Company size10,000+ people
First seenSep 30, 2026 · 1mo ago
Verified live15h ago
At a glanceSummarised by Seekless from the posting.
High School Diploma or GED, or equivalent
2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination
State Accident & Health Insurance
Current state driver’s license
Ok with travel and working some weekends
Experience with Medicare and Medicaid sales
Bilingual (Spanish or other relevant languages)
Experience working with underserved or dual-eligible populations
Reside in the greater Philadelphia or Pittsburgh area
Authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Benefits
Health insurance
401(k)
Tuition reimbursement
Paid time off
About the role
Position Purpose: Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries and serve as the primary engagement owner responsible for driving conversion, onboarding, early member retention, and ongoing engagement. Serves as a dual-eligible subject matter expert, coordinating with internal and external partners to improve member alignment, engagement, quality outcomes, and retention.
Requirements
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Candidate must reside in the greater Philadelphia or Pittsburgh area.
Candidate will need to be ok with travel and working some weekends.
Nice to have
Experience with Medicare and Medicaid sales is highly preferred.
Responsibilities
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Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status, readiness, market priorities, and individual needs while supporting onboarding, retention, and ongoing member engagement
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Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships
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Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources
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Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations
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Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention
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Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being
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Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement
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Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements
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Complete required certifications and training programs
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Performs other duties as assigned
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Complies with all policies and standards
Education/Experience: High School Diploma or GED, or equivalent required 2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination required. Experience working with underserved or dual-eligible populations preferred. Bilingual (Spanish or other relevant languages) preferred.
Licenses/Certifications:
State Accident & Health Insurance Upon Hire required
Current state driver’s license Upon Hire required
About the company
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Benefits
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Legal
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act