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Remote Medicare Advantage Support Specialist

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The CSC MA Support Specialist will provide quality assurance, help desk and escalation desk support for Medicare Advantage operations.

"This position is eligible to work onsite or hybrid (9 or more days a month onsite), or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Schedules:
AEP/OEP (Oct 1-Mar 31 - open 7 days a week, 8am-8pm)
Non-AEP/OEP (Apr 1-Sept 30 - open Mon-Fri only, 8am-8pm)

Training hours: Mon-Fri, 8am-4:30pm for approximately 12 weeks beginning October 13, 2025.

Holidays:
During AEP/OEP - Thanksgiving Day and Christmas Day
April 1 - September 30 - All Federal Holidays



Why Join Us?

Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
Stability: 80 years of commitment, compassion, and community
Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.

Compensation

$23.00- $27.30
Non-Exempt 12

Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

What you'll do

Responsibilities:

  • Assist CXRs with telephone and written customer inquiries. Research and identify solutions, coach in the moment to assist in de-escalating situations and handle escalated situations by resolving customer concerns. Track and trend inquiries received via the help and escalation desks. Directly assist with written and telephone customer inquiries when call center needs necessitate.
  • Resolve problems and identify solutions for CXRs, follow appropriate department procedures, document the process and provide clear instructions on how to reach a resolution for future inquiries.
  • Monitor live calls, written and email inquiries. Analyze and determine if course of action taken is accurate and within guidelines and departmental procedures. Provide evaluation of outcome and applicable feedback to direct supervision for future coaching opportunities.
  • Research and make recommendations of correct information to avoid errors or omissions in our manuals/systems to include, but not limited to: Membership, Claims and Benefit resources and any systems and related research material.
  • Same-day turnaround on all open inquiries to support meeting all departmental goals.
  • Create and build samples to adequately represent a snapshot of a CXR's skills to be quality checked.
  • Utilize survey tracking system to identify action alert and unresolved inquiries, and check the inquiry to determine appropriate resolution.
  • Operate in a close team environment. This includes the ability to mentor and serve as quality control or reviewer for other specialists and performing the duties of another team member during their absence. This also extends to assisting training with mentor and shadowing needs when applicable.
  • Special projects or tasks as assigned.
  • Meet department performance and quality standards of 99% accuracy and comply with corporate compliance program, security policies, standards and guidelines.

What you need

Knowledge/Skills/Abilities

  • Must be able to maintain confidentiality of the job and privacy of those inquiring.
  • In depth knowledge of Medicare Advantage contracts to include benefits, claims and enrollment to resolve issues frequently requiring determination of appropriate actions.
  • Excellent reasoning, analytical skills, and sound judgment. Must act or think independently to develop a recommendation or resolution directly impacting escalated calls.
  • Must demonstrate a strong commitment to providing accurate and quality customer service/interaction while working in a high stress environment and remaining timely, to allow for first call resolution.
  • Advanced interpersonal and communication skills.
  • Able to work collaboratively and cooperatively as a team member.
  • Ability to work within a self-initiated environment with little supervision.
  • Exceptional attendance. A successful candidate will be expected to maintain a consistent schedule with minimal unexpected absences.
  • Strong computer skills and the ability to learn quickly and effectively utilize company systems and programs.
  • Excellent attention to detail, prioritization and time management.
  • Must be able to connect coaching elements to the BCBSKS Core Values.
  • Must demonstrate a thorough understanding of the MA line of business and the appropriate customer service protocols.

Education and Experience:

  • High school diploma or equivalent.
  • At least three years customer service experience required.
  • Experience with coaching employees is preferred.
  • Blue plan experience preferred.
  • Medicare Advantage customer service and operations experience preferred.

Benefits & Perks

  • Base pay is only one component of your competitive Total Rewards package:
    • Incentive pay program (EPIP)
    • Health/Vision/Dental insurance
    • 6 weeks paid parental leave for new mothers and fathers
    • Fertility/Adoption assistance
    • 2 weeks paid caregiver leave
    • 5% 401(k) plan matching
    • Tuition reimbursement
    • Health & fitness benefits, discounts and resources

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

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This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

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10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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