Member Retention Associate

Anticipated End Date:

2026-03-13

Position Title:

Member Retention Associate

Job Description:

Location: Washington D.C.

Hours: Standard Working hours

Travel: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.

Position Overview:

Responsible for providing customer service to promote retention of members enrolled in Individual product lines. This candidate will be onsite at our Wellness center in Washington D.C.

How You Will Make an Impact:

• Provide information related to Covered Services, accessing care, and enrollment status

• Provide information on how to access services for mental health and substance use disorder

• Assist any Enrollee to file a Grievance or Appeal if the Enrollee Services staff is unable to resolve the issue

• Schedule appointments and arrange transportation and language access accommodations for medical appointments. if requested and if necessary.

• The Contractor shall not restrict Enrollees’ access to this service and may not establish requirements that such requests be made more than five (5) calendar days in advance for non-EPSDT appointments and two (2) days for well-child visits and other Medically Necessary Services

• Assist Enrollees in selecting a PCP or PDP, or locating another Network Provider 

• Provide information on contacting the Ombudsman for assistance with filing a Grievance or Appeal

• Schedule services and arrange transportation and language access accommodations necessary for pre-approved Out-of-Network Providers.

• The Contractor shall ensure that its Enrollee Services staff has access to current information about all Providers in the network, including mental health Providers.

Required Qualifications:

• Requires a minimum of 3 years experience in life and health insurance sales and/or member services field; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

• Previous experience with Member retention services strongly preferred

• Excellent communication and collaboration experience is a must

• Experience handling grievances strongly preferred

• Previous experience or exposure to health plan and Benefits strongly preferred

• Previous experience with Salesforce preferred

For candidates working in person or virtually in the below location(s), the hourly* range for this specific position is $ $21.63/HR to $32.44/HR

Locations: Washington D.C.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MBR > Membership & Enrollment Rep

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.