Seasoned Medicaid Customer Service Representative – Remote, Oregon – Champion of Member Support & Healthcare Advocacy

About brighthush

brighthush is a forward‑thinking health‑insurance provider dedicated to delivering compassionate, high‑quality care to members across Oregon and beyond. With a mission to simplify the complex world of Medicaid and other public health programs, brighthush empowers families, seniors, and individuals with disabilities to access the services they need while ensuring compliance, transparency, and continuous improvement. Our culture is built on collaboration, innovation, and a deep commitment to community impact. As a remote‑first organization, we blend cutting‑edge technology with a supportive, flexible work environment that allows our team members to thrive both professionally and personally.

Why Join brighthush?

At brighthush, you’ll be part of a dynamic, mission‑driven team that values every voice. We offer:

• Competitive salary and comprehensive benefits package
• Generous paid time off and holiday schedule
• 401(k) plan with company match
• Continuous learning and professional development opportunities
• Inclusive, supportive culture that celebrates diversity and promotes work‑life balance
• Remote work flexibility with a fully equipped home‑office stipend

Key Responsibilities

As a Medicaid Customer Service Representative, you will be the frontline advocate for our members, ensuring they receive timely, accurate, and empathetic support. Your day‑to‑day tasks will include:

• Answering inbound calls and emails from Medicaid beneficiaries, caregivers, and healthcare providers with professionalism and clarity.
• Resolving inquiries related to enrollment, coverage, benefits, claims, and policy changes, while adhering to all regulatory and compliance standards.
• Documenting each interaction in our secure CRM system, ensuring data integrity and audit readiness.
• Collaborating with cross‑functional teams—claims, enrollment, compliance—to troubleshoot complex issues and provide holistic solutions.
• Maintaining up‑to‑date knowledge of Medicaid policies, state regulations, and internal procedures to deliver accurate information.
• Identifying patterns in member concerns and proactively suggesting process improvements to enhance service quality.
• Participating in ongoing training sessions and knowledge‑sharing workshops to stay current on industry best practices.

Essential Qualifications

To excel in this role, you should bring the following:

• High school diploma or equivalent; associate’s degree preferred.
• Minimum of 1 year of experience in medical insurance, healthcare, or a related field.
• At least 1 year of experience in a call center or customer service environment, preferably within healthcare.
• Strong computer literacy, including proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
• Reliable high‑speed internet connection and a quiet, dedicated workspace.
• Excellent verbal and written communication skills in English.
• Demonstrated ability to meet or exceed attendance and performance metrics.
• Empathy, patience, and a genuine desire to help people navigate complex health‑insurance systems.

Preferred Qualifications

While not mandatory, the following will give you a competitive edge:

• Experience with Medicaid or other public‑health insurance programs.
• Familiarity with CRM platforms (e.g., Salesforce, Zendesk) and call‑center software.
• Knowledge of HIPAA regulations and data privacy best practices.
• Previous experience in a remote or virtual work setting.
• Multilingual abilities, especially Spanish, to serve a broader member base.

Skills & Competencies

Success at brighthush requires a blend of technical and soft skills:

• Customer‑centric mindset: Ability to listen actively, empathize, and resolve issues efficiently.
• Analytical thinking: Strong problem‑solving skills and attention to detail.
• Adaptability: Comfortable navigating changing policies, technologies, and member needs.
• Team collaboration: Willingness to share insights and support colleagues across departments.
• Time management: Prioritize tasks and manage multiple inquiries simultaneously while maintaining quality.
• Tech proficiency: Comfortable learning new software tools and troubleshooting basic technical issues.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear career pathways. As a Medicaid Customer Service Representative, you will have the chance to:

• Advance to senior support roles or team lead positions within the Customer Service department.
• Transition into specialized areas such as Claims Processing, Enrollment, or Compliance.
• Participate in leadership development programs and mentorship initiatives.
• Earn certifications related to healthcare customer service, compliance, or data privacy.
• Attend industry conferences, webinars, and workshops to stay ahead of emerging trends.

Work Environment & Culture at brighthush

Our remote‑first approach means you can work from the comfort of your home while staying connected to a vibrant, collaborative team. We foster:

• Regular virtual team huddles and social events to build camaraderie.
• Transparent communication channels, including Slack, Teams, and weekly all‑hands meetings.
• A culture of psychological safety where ideas are welcomed and feedback is constructive.
• Commitment to diversity, equity, and inclusion, ensuring every team member feels valued.
• Flexibility to accommodate personal commitments, with core hours that align with Oregon’s time zone.

Compensation & Benefits

We offer a competitive salary range of USD 38,251 – 42,806 per year, commensurate with experience and qualifications. In addition to base pay, you will receive:

• 401(k) retirement plan with company match up to 5%.
• Health, dental, and vision insurance plans with generous coverage options.
• Paid time off (PTO) policy that includes vacation, sick leave, and personal days.
• Flexible work schedule and remote work stipend to support home‑office setup.
• Employee assistance program (EAP) for mental health and wellness support.
• Professional development stipend for courses, certifications, and conferences.

How to Apply

If you are passionate about making a difference in the lives of Medicaid beneficiaries and thrive in a fast‑paced, remote environment, we encourage you to apply today. Submit your resume and a brief cover letter outlining why you are the ideal candidate for this role. Join brighthush and help us transform the way people experience healthcare.