Member Advocate I - 210113

Member Advocate I - 210113

Bcforward is looking for Member Advocate I -Hybrid Indianapolis, IN 46204

Job Title: Member Advocate I

Number of Openings: 1
Target Start Date: January 5, 2026
Assignment Duration: 12 Months (Possibility to Extend or Convert)
Work Location: Hybrid - Indianapolis, IN (Eastern Time Zone)
Office Location: 429 N. Pennsylvania St, Suite 109, Indianapolis, IN 46204
Daily Schedule: Monday-Friday, 8:00 AM - 5:00 PM (1-hour lunch, no OT)
Field-Worker / Member-Facing Role: Yes
Bilingual Preferred: Spanish

Position Purpose

Serve as an advocate for Members and a liaison between the Health Plan and Provider(s) to ensure timely access to appropriate care. Establish a visible presence in the community, support Member education, and help identify and resolve systemic barriers that impact Members' ability to receive healthcare services.

Key Responsibilities

• Receive, review, and respond to Member complaints and grievances; identify access barriers and drive resolution per grievance procedures.
• Investigate and resolve cultural sensitivity and access-related issues raised by Members, providers, advocacy groups, State staff, and internal teams.
• Participate in local community events and organizations to understand Member needs and update educational materials as necessary.
• Serve as a primary contact for Member advocacy groups, community agencies, and State entities.
• Promote Member education and support Members in navigating available health plan resources.
• Maintain strict confidentiality and comply with all HIPAA guidelines.
• Support Member Walk-In Office operations during scheduled in-office weeks.
• Assist with daily tasks including PCP assignments, balance billing issues, and provider disenrollment/panel change requests.
• Provide virtual support to the in-office Member Advocate team when working remotely.

Education & Experience Requirements

Required:

• High school diploma or equivalent
• 3+ years of customer service experience in a healthcare environment

Preferred:

• Experience with Medicaid, Medicare, or Marketplace healthcare programs
• Bilingual - Spanish

Technical & Skill Requirements (Top 3 Must-Haves)

Amisys and/or Portico Experience (1-2 years)

Telephony Systems Experience (1-2 years)

Data Entry Accuracy & Speed (1-2 years)

Work Environment & Schedule

• Hybrid role with four weeks of mandatory in-office training.
• After training, schedule rotates to one week in-office every five weeks (non-negotiable).
• Walk-In Office is secure with badge-only access and partitioned workspace for safety.
• Team communicates daily via Teams Chat to coordinate tasks and maintain turnaround times.
• 40-hour work week with paid breaks and no overtime.

Story Behind the Need

MHS has seen a recent membership increase across Hoosier Healthwise, Hoosier Care Connect, and the Healthy Indiana Plan. The Member Advocate team supports Members during transitions, resolves access barriers, and ensures Members receive timely support. Growing Member volume requires an additional strong team member capable of working independently and engaging positively with Members, providers, and internal teams.

Team culture is collaborative, member-first, and service-driven. The role offers hands-on experience in advocacy, benefits education, Medicaid/Medicare programs, and community partnership work.

Candidate Requirements

Must-Haves:

• Lives within a drivable distance to Indianapolis
• 3+ years healthcare customer service experience
• Strong communication and problem-solving skills

Nice-to-Haves:

• Spanish bilingual
• Medicaid/Medicare exposure

Disqualifiers:

• Residing outside the Indianapolis drivable area

Performance Indicators:

• Accuracy & turnaround time
• Communication quality
• Member satisfaction and issue resolution
• Reliability in hybrid/in-office scheduling

Interested candidates please send resume in Word format Please reference job code 247717 when responding to this ad.

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