Health Plan Specialist

Job Overview

A leading health insurance company is expanding its team to manage the surge during open enrollment, focusing specifically on Medicare-related customer inquiries. The role involves direct inbound communication primarily with senior citizens, requiring a compassionate and patient approach to assist them with understanding their Medicaid benefits and responding to their inquiries. On a typical day, agents handle between 50 to 70 inbound calls, with 70 being exceptionally high.

Responsibilities

• Manage inbound Medicare-related calls, ensuring clear and empathetic communication.
• Guide elderly clients through their Medicaid benefits and address any questions or concerns.
• Maintain high call volume efficiency, typically between 50 to 70 calls daily.

Qualifications and Skills

• Minimum of 2 years' experience in a call center environment is mandatory.
• Experience with payor organizations is highly regarded.
• Knowledge or background in Medicaid programs is advantageous.
• Possession of a High School diploma or GED.

Additional Information

• This is a contract position based remotely in Oregon.
• The hourly pay rate for this role is $21.00.
• Eligible employees may receive benefits including medical, dental, vision coverage, critical illness, accident and hospital insurance, 401(k) plans with pre-tax and post-tax options, voluntary life and AD&D insurance for employees and dependents, short- and long-term disability, health spending account (HSA), transportation benefits, employee assistance programs, and paid time off such as PTO, vacation, or sick leave.
• The role is fully remote with flexible work arrangements.
• Application deadline is anticipated to be August 7, 2026.
• The employer is an equal opportunity organization offering consideration without discrimination based on race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any other protected characteristic.
• For locations under San Francisco jurisdiction, consideration is given to candidates with arrest and conviction records under the Fair Chance Ordinance.
• Lie detector tests are prohibited in Massachusetts as a condition of employment.
• Artificial Intelligence tools may be used during the recruitment process for screening and evaluation, but hiring decisions rest solely with the recruitment team.