Remote Health Advocate – Inbound/Outbound Member Engagement (HEDIS Focus) – Work From Home – California
About arenaflex: Where Compassion Meets Innovation in Healthcare
At arenaflex, we carry our heart into every moment of wellbeing. Our organization is united by a single, powerful purpose: bringing heartfelt dedication to each individual we serve. This purpose guides our commitment to delivering improved, human-centered healthcare solutions for a rapidly evolving world. Anchored in a brand where heart sits at the center, our mission sends a deeply personal message — how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ shape everything we do. Every colleague who joins arenaflex is empowered by the meaningful role they play in transforming our culture and accelerating our ability to develop and deliver innovative solutions that make healthcare more personal, more convenient, and more affordable for the communities we serve.
If you are a motivated, compassionate professional who thrives in a remote work environment and is passionate about helping members navigate their healthcare journey, arenaflex offers you a career with purpose, growth, and a supportive team that truly cares.
Position Overview
arenaflex is currently seeking a dedicated and empathetic Remote Health Advocate – Member Engagement (HEDIS Focus) to join our Healthy Outcomes Team. In this full-time, work-from-home role based in California, you will engage with our Federal Medicare members through multiple channels — including digital platforms and telephone — to inspire and motivate healthier behaviors through innovative, compassionate, and thoughtful communication.
The primary goal of every interaction is to ensure that each member has a clear understanding of the benefits available to them under their Federal Medicare plan, including specific preventive screenings, vaccinations, and prescription drug support. As a Health Advocate, you will conduct telephonic outreach to both members and providers, ensuring that individuals receive important health services, medications, and resources that improve Star-rated health outcomes.
This is more than a customer service position — it is an opportunity to advocate for better health outcomes, close gaps in care, and make a tangible difference in the lives of Medicare beneficiaries every single day.
Key Responsibilities
Member Outreach and Engagement
- Work on one or more departmental programs involving inbound and outbound calls to members who may benefit from designated services, including healthcare visits, preventive screenings, vaccinations, and prescription refills.
- Effectively capture member-reported barriers and collect data using motivational interviewing techniques to provide solutions that close gaps in care.
- Deliver top-tier, empathetic support to every member, ensuring each individual is treated with professionalism, respect, and dignity.
- Act as a single point of contact, coordinating care between health plan representatives, physicians, and pharmacies as needed.
Clinical Documentation and HEDIS Support
- Actively listen and collect member-reported data elements within the CRM platform to support clinical record pursuit for HEDIS medical record documentation.
- Provide members with the right information at the right time, empowering them to make better-informed decisions about their health and healthcare.
- Engage, consult with, and educate members based on their unique needs, preferences, and understanding of available services.
- Take end-to-end ownership of the member experience, providing exceptional service and a single-resource resolution approach.
Issue Resolution and Member Advocacy
- Respond to questions and resolve issues as a dedicated "single resource," escalating concerns to leadership when appropriate.
- Build trusting relationships with members by taking responsibility to fully understand their individual needs.
- Walk members through available programs, tools, and resources to support positive healthcare behaviors.
- Take ownership of assigned member cases to resolve issues and connect them with additional services as appropriate.
- Report and track all member contacts, events, and outcomes through appropriate systems and processes.
Communication and Quality Standards
- Utilize professional verbal and written communication skills to build connections with both internal and external stakeholders.
- Use relevant system tools and resources to produce quality business communications, including letters and spreadsheets, in response to member inquiries.
- Manage multiple functions and products while maintaining or exceeding performance standards.
- Identify issues that require escalation and provide thoughtful suggestions for resolution.
- Project professionalism and present a positive image of arenaflex when engaging with members, providers, and constituents.
- Support individual, team, and business goals and initiatives; take ownership of personal results.
Additional Capabilities and Expectations
- Demonstrated proficiency with Windows-based applications and the ability to navigate standard corporate software packages and applications with a high level of computer literacy.
- Effective communication skills with prior experience speaking with clinical providers and clinical staff.
- Strong active listening and interpersonal skills, with the ability to develop and maintain effective working relationships.
- Solid analytical skills with a strong focus on accuracy and attention to detail.
- Demonstrated ability to de-escalate tense or emotionally charged situations.
- Demonstrated empathy, curiosity, passion for learning, compassion, and active listening skills.
- Ability to apply creative thinking when needed to solve members' concerns and a genuine desire to advocate on their behalf.
- Ability to thrive amid change and adapt to shifting priorities within short timeframes.
- Capacity to work independently, apply critical thinking, multitask with ease, and demonstrate professionalism in every interaction.
- Strong problem-solving skills with the ability to respond with responsiveness and thoughtfulness.
- Ability to absorb and apply new and changing information quickly and accurately.
- Capacity to make effective, independent decisions in a fast-paced environment.
- Ability to multitask, prioritize effectively, and adapt to a high-speed, changing work environment.
Required Qualifications
- Recent and related experience working with HEDIS screening measures and behavior change methodologies.
- Related experience working directly with members or consumers, ideally in a call center environment.
- Minimum of 2 years of recent and related experience within healthcare, healthcare marketing, outreach, health education, health coaching, or disease management.
- 2 to 4 years of experience in a healthcare setting with direct communication with various levels of management, including clinical providers.
- High School Diploma or G.E.D. equivalent is required.
Preferred Qualifications
- Bilingual or multilingual candidates are strongly preferred.
- Bachelor's degree or equivalent work experience is preferred.
- Clinical certification (such as Certified Nursing Assistant, Medical Assistant, or similar) is strongly recommended but not required.
Skills and Competencies for Success
To thrive in this role at arenaflex, you will need a unique blend of clinical awareness, customer service excellence, and emotional intelligence. Successful Health Advocates demonstrate the following:
- Empathy and Compassion: Genuine care for the wellbeing of Medicare members and the ability to connect with individuals from diverse backgrounds.
- Communication Excellence: Clear, professional verbal and written communication skills, with the ability to explain complex healthcare topics in accessible language.
- Critical Thinking: The ability to assess situations quickly, identify barriers, and develop practical solutions.
- Adaptability: Comfort with shifting priorities, evolving program requirements, and a fast-paced remote work environment.
- Self-Motivation: The discipline to work independently from a home office while maintaining high productivity and engagement.
- Technical Proficiency: Comfort with CRM systems, Windows-based applications, and digital communication tools.
- Team Collaboration: A collaborative spirit that supports team goals, shares knowledge, and contributes to a positive remote work culture.
Work Environment and Company Culture at arenaflex
arenaflex is more than a workplace — it is a community. We believe that when our colleagues feel valued, supported, and empowered, they are able to bring their best selves to the members and communities we serve. Our remote work environment is designed to foster connection, collaboration, and professional growth, no matter where you are located.
Our culture is built on the principles of heart, integrity, and accountability. We celebrate diversity, champion inclusion, and recognize that every team member contributes uniquely to our collective mission. From virtual team-building events to ongoing learning opportunities, arenaflex invests in the wellbeing and development of every colleague.
As a remote team member, you will have access to the tools, training, and support you need to thrive — including a structured onboarding program, ongoing coaching, and a dedicated team of professionals who are passionate about healthcare advocacy.
Compensation, Perks, and Benefits
At arenaflex, we believe that taking care of our colleagues is just as important as taking care of our members. The typical pay range for this position will be determined based on factors such as experience, education, geography, and other relevant considerations.
In addition to a competitive compensation package, arenaflex offers a comprehensive suite of benefits, including:
- Comprehensive Medical, Dental, and Vision Coverage: Full range of healthcare benefits for eligible colleagues and their families.
- 401(k) Retirement Savings Plan: Plan for your future with our competitive retirement savings options.
- Employee Stock Purchase Plan: Eligible colleagues can participate in our long-term equity program.
- Fully Paid Term Life Insurance: Financial security for you and your loved ones.
- Short-Term and Long-Term Disability Benefits: Protection when you need it most.
- Wellness Programs: A variety of programs designed to support your physical, mental, and emotional wellbeing.
- Education Assistance and Free Development Courses: Continuous learning opportunities to help you grow your career.
- Discount Programs: Exclusive savings with participating partners to support your everyday lifestyle.
- Generous Paid Time Off: Vacation, sick time, and paid holidays throughout the calendar year, in accordance with applicable state laws and company policies.
For more detailed information on available benefits, please visit our careers portal.
Career Growth and Learning Opportunities
At arenaflex, your career trajectory is in your hands. We are committed to investing in our colleagues through continuous learning, mentorship, and advancement opportunities. As a Health Advocate, you will gain deep experience in Medicare healthcare delivery, member engagement strategies, HEDIS quality measures, and healthcare communication best practices.
Many of our Health Advocates have advanced into roles such as Team Leads, Quality Specialists, Clinical Liaisons, Healthcare Educators, and Program Managers. Whether you aspire to deepen your clinical expertise, develop leadership skills, or transition into another area of healthcare operations, arenaflex will support your journey.
Through structured career development programs, internal mobility opportunities, and tuition assistance, you can build a long-term career with an organization that truly values its people.
Our Commitment to Health and Safety
arenaflex is committed to maintaining a safe and healthy workplace for all colleagues. Consistent with applicable laws and our organizational policies, certain positions may require colleagues to be fully vaccinated against COVID-19, including any booster doses when required, unless a reasonable accommodation is approved based on disability, medical condition, sincerely held religious belief, or other legally recognized reason.
Candidates selected for this position may be required to provide proof of vaccination status or to apply for a reasonable accommodation within the timeframe communicated by the recruitment team.
How to Apply
Ready to make a meaningful difference in the lives of Medicare members while building a rewarding career in healthcare? arenaflex wants to hear from you.
To apply for this exciting remote Health Advocate opportunity, please follow these steps:
- Review the complete job description and ensure your experience aligns with the qualifications.
- Prepare your resume, highlighting your relevant healthcare, member engagement, and HEDIS experience.
- Gather any supporting documents, including educational credentials and professional certifications.
- Complete the online application form through our careers portal.
- Attach all required documents and submit your application.
Eligible candidates are encouraged to apply promptly, as applications will be reviewed on a rolling basis. We look forward to learning more about you and exploring how your talents can contribute to the arenaflex mission of bringing heart to every moment of wellbeing.
Equal Opportunity Employer
arenaflex is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all colleagues. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.