Member Support Specialist

New

Skills

Accessibility Knowledge Case Management Communication Skills Conflict Resolution Critical Thinking Documentation Skills Empathy Healthcare Systems Knowledge Problem Solving Regulatory Compliance

As a Member Support Specialist focusing on Escalations & Accommodations, you will own and resolve high-priority, complex, or sensitive member escalations from start to finish. You will be the last line of contact for unresolved member concerns, ensuring timely and compliant resolutions while reviewing accommodation requests with sound judgment.

Key Responsibilities
  • Investigate grievances thoroughly, synthesizing information from multiple systems and stakeholders.
  • Ensure well-documented resolutions of escalations.
  • Evaluate accommodation and accessibility requests, determining appropriate next steps.
  • Communicate effectively with health plans, providers, and external partners, adapting style based on audience.
  • Lead de-escalation efforts with empathy and professionalism, balancing compassion with boundary-setting.
  • Make independent decisions on sensitive cases and identify when further escalation is necessary.
  • Recognize patterns in escalations and recommend improvements.
  • Maintain strong documentation and compliance, especially with sensitive processes.
Required Skills & Qualifications
  • Bachelor’s degree or higher.
  • 3–5+ years in member/patient support, escalations, grievances, or case management.
  • Experience in healthcare systems or regulated environments preferred.
  • Proven ability to manage high-emotion interactions and drive resolution.
  • Strong written and verbal communication skills.
  • Familiarity with accessibility and accommodation processes.
  • Reliable high-speed internet access and a secure, quiet workspace.

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

Share this job:

Similar Jobs

Clinical Associate - Home Health

Posted 38 days ago

Supervise and lead field clinicians.

Manage case management and develop staff.

Case Management Clinical Oversight Home Health Care ICD-9 Coding

Time & Attendance Specialist

Posted 37 days ago

Manage Time & Attendance for external employees and clients.

Advise on employment law changes and ensure compliance.

Case Management Communication Skills Conflict Management Data Integrity

Clinical Nurse Manager

Posted 31 days ago

Provide leadership for nursing staff.

Oversee clinic functions for patient needs.

BSN Degree Care Coordination Case Management Communication Skills

Salesforce Student Experience PM

Posted 37 days ago

Lead the product management for Salesforce Student Experience.

Engage with stakeholders to gather requirements.

AI Tools Business Analysis Case Management Data Flow Understanding

Litigation Associate Attorney

Posted 33 days ago

Draft legal documents for litigation.

Conduct legal research for cases.

Case Management Civil Litigation Client Communication Court Filings

Litigation Paralegal Support

Posted 32 days ago

Provide litigation support across all phases.

Draft discovery and disclosure documents.

Case Management Client Management Clio Document Drafting

Nurse Manager, Home Care

Posted 18 days ago

Lead and inspire the nursing team.

Ensure high-quality client care.

Care Coordination Case Management Clinical Documentation Communication Skills

Veterinarian Position Edgewater

Posted 26 days ago

Provide veterinary medical care with autonomy.

Collaborate with a remote team for patient care.

Case Management Client Communication Dentistry Multitasking

Senior Living RN Manager

Posted 18 days ago

Lead and inspire the nursing team.

Collaborate with management for staff oversight.

Care Plan Development Case Management Clinical Documentation Communication Skills

Member Care Specialist

Posted 18 days ago

Serve as SME for Member and Provider Services.

Resolve complex provider/member issues.

Case Management Collaboration Tools Communication Skills Customer Support

Senior Paralegal Position

Posted 24 days ago

Drive efficient case management.

Conduct thorough fact investigations.

Case Management Communication Skills Data Collection Fact Investigations

Time & Attendance Specialist

Posted 22 days ago

Serve as an expert in Time & Attendance.

Manage employee lifecycle events accurately.

Asynchronous Communication Case Management Conflict Management Employment Legislation

Transplant Nurse Manager

Posted 18 days ago

Coordinate care for transplant patients.

Enhance customer engagement in health.

Analytical Skills Care Coordination Case Management Electronic Health Records (EHR)

Time and Attendance Specialist

Posted 10 days ago

Manage Time & Attendance accurately and compliantly.

Advise clients on employment law changes.

Automation Skills Case Management Communication Skills Confidentiality Management

Intake Team Lead

Posted 15 days ago

Lead a team of Intake Specialists.

Mentor and coach team members.

Case Management Communication Skills Critical Thinking Customer Service

Insurance Defense Attorney

Posted 13 days ago

Represent clients in insurance defense cases.

Handle cases from intake to resolution.

Case Management Case Resolution Client Communication Court Appearances

Community Claims Specialist

Posted 13 days ago

Assist workers in personal injury claims.

Engage community resources for support.

Case Management Client Advocacy Communication Skills Community Resource Engagement

Financial Crimes Specialist

Posted 5 days ago

Review alerts for suspicious activity.

Conduct investigations using internal systems.

Anti-Money Laundering (AML) Case Management Criminal Justice Data Analysis

Financial Crimes Unit Specialist

Posted 5 days ago

Review and assess alerts for suspicious activity.

Investigate flagged transactions using internal systems.

Case Management Data Analysis Excel Financial Crime Investigations

Customer Success Manager I

Posted 4 days ago

Engage Spanish-speaking customers effectively.

Lead consultative conversations to support customer needs.

Account Management Bilingual Spanish Case Management Consultative Selling

Settlement Attorney Management

Posted 3 days ago

Collaborate with case management for settlement preparation.

Manage client interactions during the settlement offer process.

Adobe Acrobat Case Management Client Communication Interpersonal Communication

Salesforce Developer Role

New

Troubleshoot Salesforce issues across instances.

Support users with Salesforce functionality and reporting.

Apex Case Management Data Migration Integrations

Home Health RN Supervisor

New

Lead and motivate field staff.

Ensure accuracy in clinical documentation.

Assessment Skills Case Management Clinical Documentation Communication Skills

Behavioral Health Therapist

New

Provide integrated behavioral health care.

Conduct therapy sessions with a diverse population.

Acceptance and Commitment Therapy (ACT) Case Management Cognitive Behavioral Therapy (CBT) Cultural Competency

Remote VP Customer Success

Posted 49 days ago

Hiring a remote VP of Customer Success in the United Kingdom.

Full-time position that can be done remotely.

Communication Skills Customer success Customer Success Management Customer Support

Financial Reporting Specialist

Posted 49 days ago

Ensure accurate financial reporting and compliance with standards.

Provide financial insights through management reporting.

Budgeting Communication Skills Forecasting Internal Controls

Accountant Position

Posted 49 days ago

Manage accounts payable and receivable effectively, Ensure accuracy in financial reporting, Comply

ith accounting regulations, Collaborate with internal teams and external stakeholders, Provide

Communication Skills Financial Reporting Microsoft Excel Time Management

Remote Sales Engineer at Acquia

Posted 49 days ago

Hiring a remote Associate Sales Engineer

Full-time position

Communication Skills Drupal Presentation Skills Remote Work

Remote BDR UK French

Posted 49 days ago

Hire UK-based BDR

Prefer French-speaking candidates

Business Development Client Relationship Management Communication Skills Drupal

Product Marketing Manager, Platform

Posted 49 days ago

Lead product marketing strategies for the platform

Collaborate with cross-functional teams for product awareness

Collaboration Communication Skills Content Creation Cross-functional teamwork

Remote Senior Social Media Manager

Posted 49 days ago

Develop and execute social media strategies

Enhance customer experience automation

Analytics Brand management Communication Skills Content Creation

Senior Manager, Customer Advocacy

Posted 49 days ago

Hiring a Senior Manager for Customer Advocacy at 1Password.

Full-time remote position in Canada or the United States.

Communication Skills Customer Satisfaction Interpersonal Skills Problem-solving

Product Marketing Manager

Posted 49 days ago

Promote and position the client reporting tool in the market.

Drive sales and customer acquisition through effective marketing strategies.

Ab testing A/b Testing Analytical Skills B2b

Customer Support Specialist (Ireland)

Posted 49 days ago

Hiring a Customer Support Specialist based in Ireland for a full-time remote position.

Assisting customers with technical issues and providing product information.

Communication Skills Crm software Customer Support Interpersonal Skills

Night-Shift Support Specialist

Posted 49 days ago

Hire remote night-shift support specialist

Provide customer support for client reporting platform

Communication Skills Customer Service Marketing Analytics Problem Solving

Gaming Support Agent

Posted 49 days ago

Handle customer support for a game studio

Assist players with technical and account issues

Account management Android Communication Communication Skills

Multinational Customer Support Agent

Posted 49 days ago

Provide customer service for multinational companies

Engage with customers through various channels

Android Communication Skills Customer Service Email Support

Business Dev Rep France

Posted 49 days ago

Hiring a Business Development Representative for France

Full-time remote position in France

Business Development Client Relationship Management Communication Skills English Proficiency

Remote Product Manager

Posted 49 days ago

Hiring a remote Product Manager

Full-time position in Canada or the United States

Agile Communication Skills Cross-functional Collaboration Cybersecurity

DACH Marketing Manager

Posted 49 days ago

Oversee marketing activities in the DACH region.

Develop and implement targeted marketing strategies.

Campaign Management Communication Skills Data Analysis Digital Marketing

Senior Staff Software Engineer - Payments

Posted 49 days ago

Define and drive technical strategy and architecture

Collaborate with cross-functional teams for reliable solutions

Architecture Code reviews Communication Communication Skills

Remote Technical Sourcer

Posted 49 days ago

Hiring a Technical Sourcer on a contract basis

Seeking remote individuals in the United States

Collaboration Communication Skills Engineer Interpersonal Skills

Senior Marketing Manager

Posted 49 days ago

Lead marketing strategy for enterprise clients

Collaborate with sales and product teams

Analytical Skills Campaign Management Client Relationship Management Communication Skills

Senior Growth Marketing Manager, Builders

Posted 49 days ago

Seeking a Senior Growth Marketing Manager for Builder projects

Full-time remote position available across the United States

Communication Skills Data Analysis Marketing strategies

Technical Account Manager Remote

Posted 49 days ago

Recruit a remote Technical Account Manager

Drive customer success for Airtable users

Account management Account manager Cloud Computing Communication Skills

Remote Engagement Manager Role

Posted 49 days ago

Hire a remote Engagement Manager

Ensure successful client adoption

Account management Communication Skills Customer success Problem Solving

Remote Strategic Account Executive

Posted 49 days ago

Manage strategic accounts to drive revenue growth.

Build strong relationships with key clients.

Account Executive Account management B2b Business Development

Sales Floor Leader

Posted 49 days ago

Drive sales goals, Provide exceptional customer service, Manage inventory levels, Enforce company

licies, Support store

Communication Skills Financial Acumen Interpersonal Skills Organizational Skills