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Remote Medicare & Medicaid Eligibility Specialist (Advocate)
<p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Who We Are</strong></span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;">Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.<br></span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;">Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the <strong>Inc. 5000 list</strong>, the 2020 <strong>Deloitte Technology Fast 500™</strong>, and has been recognized as 2026 <strong>Best in KLAS</strong> for ADT Notifications.</span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><p style="line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 14pt;"><strong><span style="line-height: 150%; font-family: Arial, sans-serif;">Your Daily Mission (What You’ll Do)</span></strong><span style="line-height: 150%; font-family: Arial, sans-serif;"> </span></span></p> <p style="margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;"><span style="font-size: 12pt; line-height: 107%; font-family: Arial, sans-serif;">At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here. </span>You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits. </span><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;"> </span></p> <ul> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS). </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">The "Human Translator": Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions. When needed, explain<u> </u>complex regulations and eligibility requirements in simple, warm, and patient terms. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif; font-weight: bold;"><strong><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST) </span></strong></li> </ul> <p style="line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 14pt;"><strong><span style="line-height: 150%; font-family: Arial, sans-serif;">The Ideal Advocate (Who You Are)</span></strong></span></p> <p style="margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">You are the person friends and family turn to when they need help with something complicated. </span></p> <ul> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions. </span><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;"> </span></strong></li> </ul> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 14pt;"><strong><span style="line-height: 150%; font-family: Arial, sans-serif;">The Reality of the Role (Transparency Matters)</span></strong><span style="line-height: 150%; font-family: Arial, sans-serif;"> </span></span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">To thrive in this position, you should enjoy a structured, performance-driven environment. </span></p> <ul> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Scripted Excellence: To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people. </span></li> <li style="line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Bonus: You will be eligible to receive bonus payments for exceptional performance. </span></li> </ul> <p style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Why You’ll Love Centauri</span></strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;"> </span><span style="font-family: Arial, sans-serif;">(Our Promise to You)</span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.</span></p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Comprehensive medical, dental, vision, and prescription coverage</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Wellness program supporting overall well-being</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Company-paid basic life and AD&D insurance</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">401(k) plan with company match</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Tuition reimbursement opportunities</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Paid time off for vacation and illness</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Six paid company holidays</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Floating holiday</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Company-paid training and computer equipment</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Performance-based bonus program</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Paid time off for volunteer activities</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Employee referral bonus program</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Career development and training opportunities, including leadership growth</span></li> </ul> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Compensation Transparency</span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.</span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Equal Employment Opportunity and Accommodation</span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.</span></p>