Member Care Specialist

About the role

Centivo is looking for a Member Care Specialist to join its downtown Buffalo office. In this on‑site role you will serve as a trusted resource for members and provider partners, helping them navigate benefits and resolve issues. The position supports the company’s mission to make affordable, high‑quality healthcare accessible.

Key responsibilities

• Answer incoming calls from members and providers regarding benefits, eligibility, and claims.
• Research and resolve complex issues using internal tools, documentation, and outbound outreach.
• Educate members and providers on platform navigation, benefits, and available resources.
• Accurately document each interaction and follow established procedures.
• De‑escalate concerns, handle first‑level complaints, and support appeals processes.

Required profile

• High school diploma or GED.
• 1–2 years experience in a provider office, healthcare setting, or fast‑paced call center.
• Strong written and verbal communication skills.
• Excellent attention to detail and solid problem‑solving abilities.
• Ability to remain calm, professional, and customer‑focused while handling calls.

Required skills

• Microsoft Outlook
• Microsoft Word
• Microsoft Excel