Member Care Specialist

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills.

Centivo is seeking Member Care Specialists to join our dynamic team. This is an in-person on-site role based in our downtown Buffalo NY this role you will play an important part in our mission by serving as a trusted resource and problem-solver for both members and provider partners. If you are purpose-driven enjoy helping others and thrive in a fast-paced environment we would love to hear from you.

Our next paid training program begins Monday June 1 2026 making this a great time to apply.

What youll love about this role:

• Supporting members and healthcare providers with questions and service needs

• Solving complex issues with empathy resourcefulness and care

• Educating members and providers on benefits tools and navigation of our site and applications

• Being part of a team that is improving the healthcare experience in a meaningful way

What youll be doing:

• Answer incoming calls from members and providers regarding benefits eligibility and claims

• Research and resolve complex issues using internal tools documentation and outbound outreach

• Educate members and providers on platform navigation benefits and available resources

• Accurately document each interaction and follow established procedures

• De-escalate concerns and handle first-level complaints with professionalism and empathy

• Support appeals processes and ensure timely follow-up actions are completed

Qualifications:

Required Skills and Abilities:

• Proficiency with Microsoft Office applications including Outlook Word and Excel

• Strong written and verbal communication skills

• Excellent attention to detail and solid problem-solving abilities

• Ability to remain calm professional and customer-focused while handling calls

Education and Experience:

• High school diploma or GED

• 12 years of experience in a provider office healthcare setting and/or fast-paced call center environment

Preferred Qualifications:

• At least 1 year of direct experience in healthcare health insurance or a related field with a strong understanding of medical terminology and/or provider office operations

• Bilingual in Spanish and English preferred

Location:

This role is located on-site in our downtown Buffalo NY office.

Centivo Values:

• Resilient This is wicked hard. There is no easy button for healthcare affordability. Luckily the mission makes it worth it and sustains us when things are tough. Being resilient ensures we dont give up.

• Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isnt working for members employers and providers. So were building it from scratch from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.

• Positive We care about each other. It takes energy to do hard stuff build something better and to be resilient and unconventional while doing it. Because of that we make sure we give kudos freely and feedback with care. When our tank gets low a team member is there to be a source of new energy. We celebrate together. We are supportive generous humble and positive.

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual) predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information visit .

Headquartered in Buffalo NY with offices in New York City and Buffalo Centivo is backed by leading healthcare and technology investors including a recent round of investment from Morgan Health a business unit of JPMorgan Chase & Co.

Required Experience:

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