Job Post: Moda Health – Member Health Advocate

Employer Contact First Name
Pamela Baula

Company name
Moda Health

Employer Contact Email Address

Job Title
Member Health Advocate

Position City, State

Position Description
Moda Health is seeking a Member Health Advocate I. The Member Health Advocate (MHA) is a non-clinical position that assists Supervisors, Health Coaches, Behavioral Health, Case Management, and other internal teams in supporting members with preventive care and self-management of various diagnoses, including long-term chronic conditions. The MHA serves as a direct resource for members, assisting with:
  • Providing health education as it relates to health insurance benefits, access, and providers.
  • Identifying and removing barriers so members can more easily close gaps in care.
  • Promoting health coaching, vendor point solutions and wellness programs, in conjunction with the individual’s health care provider as needed.
  • Performing direct outreach to members across multiple communication channels.
The MHA works across all lines of business in all states.
Primary Functions:
  1. Under direct supervision, performs inbound and outbound multi-modal communication to members to address healthcare inquiries, utilization, benefit inquiries, and gaps in care.
  2. Support members’ disease management activities through phone, email, and mail interventions.
  3. Provide member health education as appropriate regarding condition-specific issues.
  4. Field members to appropriate health promotion programs.
  5. Communicate with providers and office staff regarding member needs.
  6. Refers members to community-based organizations.
  7. Utilizes customized database systems for documentation of member contact, status, and outcomes.
  8. Works with other Member Health Advocates within direct team and/or across Population Health Department.
  9. Other duties as assigned.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
Required Skills
  1. Minimum of bachelor’s degree in Social Work, Public Health, or related field.
  2. Strong customer service, written & verbal communication skills.
  3. Knowledge of medical terminology is required.
  4. Proficiency using software programs such as Microsoft Word, Excel, Outlook, Access, and teams.
  5. Strong organizational and time management skills.
  6. Ability to problem solve, retain information, and attend to details.
  7. Ability to multi-task and work independently.
  8. Ability to maintain confidentiality and project a professional business image telephonically and in person.

Application Instructions

Expiration Date
June 14, 2021