Let’s do great things, together

Founded in Oregon in 1955, ODS, now Moda, is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

The Member Health Advocate (MHA) is a non-clinical position that assists Supervisors, Health Coaches, Behavioral Health, Case Management, and other internal teams in supporting members with preventive care and self-management of various diagnoses, including long-term chronic conditions. The MHA serves as a direct resource for members, assisting with:

• providing health education as it relates to health insurance benefits, access, and providers
• identifying and removing barriers so members can more easily close gaps in care
• promoting health coaching, vendor point solutions and wellness programs, in conjunction with the individual’s health care provider as needed
• performing direct outreach to members across multiple communication channels

• Medical, Dental, Vision & Pharmacy
• 401K and FSA
• PTO and Company Paid Holidays

• Minimum of bachelor’s degree in Social Work, Public Health, or related field.
• Strong customer service, written & verbal communication skills.
• Knowledge of medical terminology is required.
• General understanding of cross-departmental functions within health insurance industry.
• General knowledge of health insurance practices, requiring 1 or more years of experience working in healthcare system.
• Strong organizational and time management skills.
• Ability to problem solve, retain information, and attend to details.
• Ability to multi-task and work independently.
• Proficiency using software programs such as Microsoft Word, Excel, Outlook, and Access.

• Under general supervision, performs inbound/outbound communication to members to address healthcare inquiries, utilization, benefit inquiries, and gaps in care.
• Supports members’ disease management activities through phone, email, and mail interventions.
• Provide member health education as appropriate regarding condition-specific topics.
• Fields members to appropriate health promotion programs.
• Communicates with providers and office staff regarding member needs.
• Refers members to and establishes partnerships with community-based organizations.
• Utilizes and identifies efficiencies within customized database systems for documentation of member contact, status, and outcomes.
• Provides guidance to other Member Health Advocates within direct team and/or across Population Health Department.
• Other duties as assigned.