Customer Care Associate - Medicaid Team, Geisinger Health Plan (must reside in Eastern Standard Time Zone)

Location Work from Home Job Category Member Services, Geisinger Health Plan Schedule Days Work Type Full time Department GHP Customer Care Team Date posted 07/10/2026 Job ID R-99112

Job Summary

Geisinger Health Plan is now hiring full-time Customer Care Associates for our September 2026 (9/8/2026) training class. If you are looking for an opportunity to begin a career in healthcare where you can grow not only in our health plan but also Geisinger health system, please apply.

Job Duties

The Customer Care Associate is the main point of contact a customer makes with the health plan. Provides exceptional customer service to customers by answering questions and/or resolving concerns through appropriate education, information, and follow-up.

• Provides customers with knowledge of plans, products, systems, and processes to resolve customer issues/concerns.
• Serves as primary contact for customers.
• Maintains strong relationships with customers through telephone contact, written correspondence, electronic messaging and onsite visits.
• Investigates all concerns/issues to assure accurate information is provided in a timely manner. Provides resolution for all customer concerns and inquiries.
• Communicates and coordinates with the appropriate internal departments to resolve customer concerns.
• Documents and codes accurately all inquiries/concerns.
• Provides customers with the complaint/appeal and grievance process.
• Documents complaint/appeal and grievances and forwards to the appropriate team for processing.
• Completes outbound calls to customers to resolve complex benefit, eligibility, premium, pharmacy, claims or other related issues.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details

Work Schedule / Hours

• Hours of Operation are Monday thru Friday 8am - 8pm. Saturday 8am - 2pm.

• Shifts can change based on business need and process will be discussed during the interview & hiring process.

• During peak business times, and new election periods, extended hours may be required.

Work at Home requirements:

To ensure a productive and secure remote work environment, the following conditions must be met:

• Quiet, Dedicated Workspace: A private, distraction-free area within your home to support focused work.

• Adequate Workstation Setup: Sufficient space to accommodate all employer supplied equipment, including monitors, keyboard, and other peripherals.

High-Speed Internet Connection:

Connection Type: Cable modem only (DSL, wireless cellular, and satellite services are not permitted).

Minimum Speed Requirements:

• Download: 75 Mbps

• Upload: 25 Mbps

• Ping: Less than 150 ms

• Jitter: Less than 30 ms

• Connectivity: The computer must be connected via Ethernet cable. Wi-Fi is not permitted unless a Virtual Private Network (VPN) is used to secure the connection.

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 1 year-Customer Service (Preferred)

Skills

Call Center Technologies; Communication; Teamwork; Organizing; Computer Literacy

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org( opens in new window) or connect with us on Facebook( opens in new window), Instagram( opens in new window), LinkedIn( opens in new window) and Twitter( opens in new window).

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.