Included Health · 1 day ago
Member Care Advocate (MCA)
United States
Full-time
Remote
Entry Level
$21/hr - $24.10/hr
2+ years expIncluded Health is a new kind of healthcare company focused on raising the standard of healthcare for everyone. As a Member Care Advocate (MCA), you will guide members through their healthcare journey, answering inquiries and helping them access necessary services.
Health CareHospitalMedicalmHealth
Responsibilities
You will answer a high volume of inbound calls and chats from members, providers, and vendors, ensuring every interaction is respectful, compassionate, and solution-oriented
You will be a part of a team that manages all member inquiries, utilizing all available resources to provide precise, accurate information and aiming for first-call resolution - minimizing member effort
You will own the member's journey, including researching and resolving complex cases, answering health plan-related questions, billing and claims inquiries, prior authorizations, and benefits coverage questions
You will guide members in accessing the services that best meet their needs. This includes facilitating access to virtual care services, obtaining second opinions from experts, and connecting members to other valuable healthcare resources. For clinical opportunities, you will be tasked with internal routing and ensuring the member's continuity of care
You will clearly explain all available benefits and help members understand their healthcare options, ensuring they are well-informed to make the best decisions for their health
You will expertly utilize VoIP phone systems (e.g., CXOne), Google apps, Apple products, and customer relationship management (CRM) software, to navigate and document member interactions
You will articulate Included Health's mission and understand the scope of our services to deliver consistent, high-quality advocacy to members
You will ensure every interaction is high-quality and provide service that is perceptive, skilled, and focuses on our members
Qualification
Required
Bachelor's degree with 2 years of healthcare experience, OR 5 years of relevant experience in healthcare field
Experience using VoIP phone systems (e.g., CXOne) AND comfortable handling a high volume of calls the entire day
Robust knowledge with Google apps, Apple products, and customer relationship management software, with proven ability adapting to proprietary tools
Benefits
Medical and Dental, will be provided and managed by Contracting Agency.
Excellent medical, dental, and vision insurance, plus extensive benefits through our own product (IH4IH) from day one including free virtual primary care, urgent care, and behavioral health.
Support via our Employee Assistance Program and the Golden Ticket program for family and friends.
A work-from-home (WFH) stipend to cover your internet expenses and a 401(k) plan with a 50% match on your contributions, up to 6%, starting January 1st, 2026.
Paid time off, generous parental leave, company-wide holidays, and paid volunteer time.
Company
Included Health
Included Health provides a combination of virtual care, navigation, and communities-based healthcare services.
1001-5000 employees
H1B Sponsorship
Included Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (9)
2023 (8)
2022 (6)
Funding
Current Stage
Late StageTotal Funding
$344MKey Investors
The Carlyle GroupGreylockVenrock
2020-09-09Series E· $175M
2018-05-02Series D· $66M
2017-01-01Series Unknown
Leadership Team
Owen Tripp
Chief Executive Officer
Wade Chambers
CTO & SVP of Engineering
Recent News
Business Wire
2025-12-11
Company data provided by crunchbase