Curana Health, Inc. logo
Member Services Specialist (10am to 7pm EST)
full-timeUnited States

Summary

Location

United States

Type

full-time

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About this role

 

At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it.

 

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

 

Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

 

If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you.

 

For more information about our company, visit CuranaHealth.com.

Summary

The role involves responding to member and provider inquiries related to Medicare benefits, eligibility, claims, and enrollment through phone and written communication. Responsibilities include analyzing and resolving issues, documenting outcomes, maintaining accurate records in internal systems, and ensuring timely follow-up. The position also supports positive member and provider relations, collaborates across departments to address service issues, and contributes to contact center documentation. 

 

Schedule: 10:00 a.m. – 7:00 p.m. ET | Remote | May include occasional weekend or holiday coverage.

Essential Duties & Responsibilities

  • Responds to Member/Provider questions via telephone and written correspondence regarding Medicare benefits, enrollment questions, change requests, eligibility, and claims.
  • Analyzes problems and provides information/solutions.
  • Utilizes internal systems to obtain and extract information, documents information, activities, and changes in the database.
  • Thoroughly documents inquiry outcomes for accurate tracking and analysis.
  • Develops and maintains positive member/provider relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner.
  • Researches and analyzes data to address operational challenges and member/provider service issues.
  • Requires knowledge of health insurance benefits.
  • Seeks, understands, and responds to the needs and expectations of internal and external customers.
  • Create and manage documentation specific to contact center
  • Other duties as assigned.

Qualifications

  • H.S. graduate or GED;
  • Heath insurance experience required.
  • Medicare experience preferred. Medicare Advantage plans experience is a bonus.
  • Customer service and Call center experience preferred.
  • Proficient written and oral communication skills required.
  • Compliance, at all times, with CMS regulations regarding Medicare Advantage Plans
  • Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team;
  • Exceptional organizational skills
  • Proficiency in computer skills including Microsoft Office Suite products

 

 

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

 

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).

 

 

 

We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas.

 

This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

 

Other facts

Tech stack
Customer Service,Health Insurance,Medicare,Communication Skills,Interpersonal Skills,Organizational Skills,Problem Solving,Data Analysis,Documentation,Teamwork,Call Center Experience,Proficiency in Microsoft Office,Medicare Advantage Plans,Member Relations,Provider Relations,Compliance

About Curana Health, Inc.

A national leader in value-based care, Curana Health is on a mission to improve the health, happiness, and dignity of older adults across the country.

Founded in 2021, the organization offers senior living communities and skilled nursing facilities a wide range of solutions that are proven to enhance health outcomes, improve operational efficiency, and provide new financial opportunities aligned with high-quality care.

Through an integrated approach that includes a national medical group (providing on-site primary care services), Accountable Care Organizations (ACOs), and Medicare Advantage Special Needs Plans, Curana Health supports 200,000+ seniors residing in 2,000+ senior living communities/skilled nursing facilities across 33 states.

Backed by state-of-the-art technologies, robust analytics, and strong partnerships, Curana Health aligns clinical excellence with financial performance, helping senior housing operators thrive in value-based care models while delivering meaningful results for their residents and patients.

To learn more, visit CuranaHealth.com.

Team size: 1,001-5,000 employees
LinkedIn: Visit
Industry: Hospitals and Health Care

What you'll do

  • The role involves responding to inquiries from members and providers regarding Medicare benefits, eligibility, claims, and enrollment. Responsibilities include analyzing issues, documenting outcomes, and maintaining accurate records while ensuring positive relations with members and providers.

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Frequently Asked Questions

What does a Member Services Specialist (10am to 7pm EST) do at Curana Health, Inc.?

As a Member Services Specialist (10am to 7pm EST) at Curana Health, Inc., you will: the role involves responding to inquiries from members and providers regarding Medicare benefits, eligibility, claims, and enrollment. Responsibilities include analyzing issues, documenting outcomes, and maintaining accurate records while ensuring positive relations with members and providers..

Why join Curana Health, Inc. as a Member Services Specialist (10am to 7pm EST)?

Curana Health, Inc. is a leading Hospitals and Health Care company.

Is the Member Services Specialist (10am to 7pm EST) position at Curana Health, Inc. remote?

The Member Services Specialist (10am to 7pm EST) position at Curana Health, Inc. is based in United States, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Member Services Specialist (10am to 7pm EST) position at Curana Health, Inc.?

You can apply for the Member Services Specialist (10am to 7pm EST) position at Curana Health, Inc. directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Curana Health, Inc. on their website.