{"id":4152656,"url":"https://alion.io/job/pacificsource-member-support-specialist-ii-3","title":"Member Support Specialist II","company":{"id":1965363,"name":"PacificSource","domain":"pacificsource.com","url":"https://alion.io/company/pacificsource","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Customer Success","role_family":"Customer Success","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Springfield, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":35542,"max":56868,"currency":"USD","period":"year","gross":null,"usd_annual":56868},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-11-11T00:00:00Z","employer_posted_date":"2026-11-11","last_verified_at":"2026-11-12T09:47:18Z","board_verified":true,"closed_at":null,"days_open":1,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":1},"description":"Looking for a way to make an impact and help people?\nJoin PacificSource and help our members access quality, affordable care!\nPacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.\nThe Member Support Specialist will work as an integral part of the case management team to serve as a resource to members. The Specialist will work telephonically and in person to support members with complex psycho-social issues which create barriers to adherence with medical regimens and achievement of optimal health outcomes. (Examples may include activities such as assisting with arranging transportation, linking patients with community resources, etc.). Will assist with program development, and build effective member and provider relationships.Essential Responsibilities:\nIn coordination with the member’s case manager, develop and implement goals and/or plans tailored to assist members in navigating the complexities of the healthcare system. \nEducate members on understanding and working within the parameters of their benefit structure. \nUtilize motivational interviewing and patient-engagement techniques to support members in achieving optimal health outcomes by effectively utilizing their benefits. \nIdentify community resources and make referrals to members as appropriate. \nServe as liaison between members and providers/agencies. \nIdentify members for coordination and case management services through a variety of methods, including claims data and reports. \nScreen requests to identify appropriate referrals to case management from multiple internal and external sources. \nWork collaboratively with the case management team to help facilitate case management process. Participate in case management/care coordination meetings. \nEnsure compliance with applicable state and federal regulations and guidelines in day-to-day activities, including maintaining HIPAA standards and confidentiality of protected health information. Ensure accurate and timely documentation.\nAssist members with referrals, scheduling appointments and ensuring transportation to medical appointments is available.\nAssist members with non-clinical needs for transitions and different phases of care. \nManage mailing lists and outgoing mailings.\nSupporting Responsibilities:\nAssist with the development of departmental procedures, reports and projects.\nAssist care management to meet quality measures as outlined by government regulations. \nEnter and collate data: prepare reports as assigned. \nParticipate in team, department, company, and community-related committees as requested.\nMake presentations to small groups. Actively participates in quality improvement initiatives.\nMeet department and company performance and attendance expectations.\nPerform other duties as assigned.\nWork Experience: A minimum of three years of experience in community services or healthcare agencies focused on coordination services required. Experience in health insurance and delivering group presentations preferred.\nEducation, Certificates, Licenses: High school diploma or equivalent required.\nKnowledge: Medical terminology. Proficient in Microsoft Office, including Word, Excel, PowerPoint, Medical management software (e.g CaseTrakker Dynamo). Excellent verbal and written communication skills and is able to work independently as well as to work effectively on a team. Good working knowledge of how to access community resources and healthcare system.\nCompetencies:\nBuilding Customer Loyalty\nBuilding Strategic Work Relationships\nContributing to Team Success\nPlanning and Organizing\nContinuous Improvement\nAdaptability\nBuilding Trust\nWork Standards\nEnvironment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time.\nSkills:\nAccountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, TeamworkCompensation Disclaimer\nThe wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.\nBase Range:\n$35,542.81 - $56,868.50Our Values\nWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:\nWe are committed to doing the right thing.\n\nWe are one team working toward a common goal.\n\nWe are each responsible for customer service.\n\nWe practice open communication at all levels of the company to foster individual, team and company growth.\n\nWe actively participate in efforts to improve our many communities-internally and externally.\n\nWe actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.\n\nWe encourage creativity, innovation, and the pursuit of excellence.\n\nPhysical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.\nDisclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.","description_format":"text","description_chars":6470,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":["Equity","Health insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Nonprofits & Foundations","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-11-12T09:47:18Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 3 · green card filings: 2","filings_12m":3,"filings_prev_12m":4,"green_card_filings_12m":2,"median_offered_wage_usd":90500,"route":null,"cap_exempt":false,"checked_at":"2026-11-12T07:36:15+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":12,"reasons":["conf:0","win:early"],"computed_at":"2026-11-12T10:38:37Z"},"pay":{"stated_usd_annual":56868,"is_top_pay":false},"html_url":"https://alion.io/job/pacificsource-member-support-specialist-ii-3","json_url":"https://alion.io/job/pacificsource-member-support-specialist-ii-3.json","meta":{"generated_at":"2026-11-12T12:55:02Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":26725,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1965363},"rest":"https://alion.io/mcp/rest/get_company?id=1965363"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpacificsource-member-support-specialist-ii-3"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fpacificsource-member-support-specialist-ii-3"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fpacificsource-member-support-specialist-ii-3"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/pacificsource-member-support-specialist-ii-3\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpacificsource-member-support-specialist-ii-3"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4152656}},{"tool":"search_jobs","arguments":{"company":"pacificsource.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4152656},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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