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Member and Provider Experience Specialist

Yuzu Health· Support/Operations
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Remote$48k - $55kFull-timePosted 6mo ago

About the role

The Member and Provider Experience Specialist serves as the first point of contact for members and healthcare providers, delivering high-quality, compassionate, and solution-oriented support over the phone. Responsible for resolving benefit, eligibility, and claims-related inquiries while ensuring an exceptional service experience for all stakeholders.

Responsibilities

  • Answer inbound calls from members and providers in a professional and courteous manner.
  • Provide accurate information regarding benefits, eligibility, claims status, authorizations, and network participation.
  • Research and resolve complex inquiries by collaborating with internal departments.
  • Educate members and providers on plan policies, digital tools, and available resources.
  • Escalate issues as appropriate to ensure timely resolution.
  • Maintain confidentiality and adhere to HIPAA guidelines.
  • Meet or exceed performance metrics related to call quality, timeliness, and customer satisfaction.
  • Play a critical role in evolving and strengthening our Support team as we scale and take on new challenges

Qualifications

  • Motivated, ethical, and compassionate individual who thrives in a fast-paced, detail-oriented environment and is passionate about doing the right thing and making a difference.

Skills

Required:Empathy and active listeningAccuracy and attention to detailworkload prioritizationCommunication skillsProblem-solving and critical thinkingConfidentiality and HIPAA compliance

Benefits

  • Equity opportunities
  • Competitive Salary
  • Health benefits
  • 401K with Employer matching
  • Career growth and development opportunities
  • Remote capabilities
  • Work Hours will be Monday - Friday 9am - 6pm EST
Last updated Oct 22, 2026. Interested? Apply on the company site.

About Yuzu Health

Create your own health plan

Yuzu is the technology platform for innovative plan designs.

health plantechnology platformbenefits builderportalclaims enginewhitelabeling
Company profileWebsite

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