Partnership Engagement Advisor

The Role

The Partnership Engagement Advisor serves as the primary liaison between members, health plans, and internal teams, ensuring timely access to Community Supports services through effective authorization management and member engagement. This role oversees Managed Care Organization (MCO) submissions, eligibility reviews, reauthorizations, and inbound communication while partnering across Community Development, Operations, and strategic partners to deliver a seamless member experience and uninterrupted care.

This is a hybrid position, coming into the El Segundo office 1x per quarter. Work Schedule: Business hours are 8:00 a.m. to 6:00 p.m. Pacific Time. Depending on the position and business needs, employees may be required to work any scheduled shift within these operating hours.

Primary Responsibilities

• Manage the full authorization lifecycle, including MCO submissions, eligibility reviews, reauthorizations, and member outreach to ensure timely access to services.
• Serve as the primary point of contact for members, health plans, caregivers, and internal teams, coordinating communication and resolving issues throughout the authorization process.
• Monitor and manage inbound communication channels, including email, Salesforce cases, plan portals, and referral systems, ensuring timely routing and follow-up.
• Conduct member outreach, care assessments, and eligibility evaluations while maintaining accurate documentation and activity within Salesforce and other systems.
• Partner with cross-functional teams to support targeted engagement initiatives, improve operational processes, maintain compliance with healthcare regulations, and promote exceptional member experiences.

What You Bring to the Table

• Qualifications:
• Spanish Fluency
• Bachelor's degree in Communications, Business, Healthcare Administration, or a related field preferred.
• 1–2 years of experience in healthcare, customer service, sales, member engagement, or a related field.
• Experience managing multiple priorities and delivering high-quality customer service in a fast-paced environment.
• Proficiency with Microsoft Office; Salesforce experience preferred.
• Strong written and verbal communication skills with the ability to build relationships with members, health plans, and cross-functional teams.
• Skills:
• Member engagement
• Communication
• Relationship management
• Organization
• Problem-solving
• Attention to detail
• Time management
• Adaptability

What We Bring to the Table

• 24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion.
• Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.
• Additionally, 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.