Bilingual Member Services Representative (Remote, Spanish Speaking)
Pair Team, Los Angeles, CA, United States
About Pair Team
At Pair Team, we're an innovative, mission‑driven company reimagining how Medicaid and Medicare serve the most underserved populations. As a tech‑enabled medical group, we deliver whole‑person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve. We are building a care model that empowers clinicians and care teams to provide compassionate, high‑impact care, leveraging AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.
About the Opportunity Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full‑time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.
What You’ll Do
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship‑based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conduct periodic telephonic and SMS outreach to ensure timely follow‑up to members
Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
Identify and break down barriers ensuring individuals' continuation with the program
Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow‑ups
Coordinate physical care management appointments through collaboration with external and internal providers
Utilize external and internal online platforms to collaborate with team members and carry out daily tasks
What You’ll Need
3+ years of general work experience (healthcare call environments preferred)
You are physically located in California
Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
Virtual Ops requires a quiet, HIPAA compliant and internet connected space
Bilingual – English/Spanish
Telehealth experience in high volume call settings (inbound and outbound)
Strong understanding of cultural fluency
High degree of empathy
Ability to work collaboratively in a multidisciplinary team
An eye for optimization
Organizational skillsAbility to remain patient when faced with adversity
Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
A valid driver's license and auto liability insurance
Preferred Qualifications
Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
2+ years of healthcare call center experience
Experience with motivational interviewing
Metrics driven
Zest for problem solving, seeking answers, and thinking outside the box
Detail‑oriented and organized self‑starter who is a rockstar multitasker
Reliable and comfortable in an ever‑changing environment
Because We Value You
Salary: $25/hour
Comprehensive health, vision & dental insurance
401k
Monthly $100 work from home expense stipend for your WFH days
Gas reimbursements for your on‑site engagement days
Flexible vacation policy -- take the time you need to recharge!
We provide all of the equipment needed for the role
Opportunity for rapid career progression with plenty of room for personal growth!
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
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About the Opportunity Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full‑time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.
What You’ll Do
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship‑based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conduct periodic telephonic and SMS outreach to ensure timely follow‑up to members
Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
Identify and break down barriers ensuring individuals' continuation with the program
Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow‑ups
Coordinate physical care management appointments through collaboration with external and internal providers
Utilize external and internal online platforms to collaborate with team members and carry out daily tasks
What You’ll Need
3+ years of general work experience (healthcare call environments preferred)
You are physically located in California
Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
Virtual Ops requires a quiet, HIPAA compliant and internet connected space
Bilingual – English/Spanish
Telehealth experience in high volume call settings (inbound and outbound)
Strong understanding of cultural fluency
High degree of empathy
Ability to work collaboratively in a multidisciplinary team
An eye for optimization
Organizational skillsAbility to remain patient when faced with adversity
Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
A valid driver's license and auto liability insurance
Preferred Qualifications
Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
2+ years of healthcare call center experience
Experience with motivational interviewing
Metrics driven
Zest for problem solving, seeking answers, and thinking outside the box
Detail‑oriented and organized self‑starter who is a rockstar multitasker
Reliable and comfortable in an ever‑changing environment
Because We Value You
Salary: $25/hour
Comprehensive health, vision & dental insurance
401k
Monthly $100 work from home expense stipend for your WFH days
Gas reimbursements for your on‑site engagement days
Flexible vacation policy -- take the time you need to recharge!
We provide all of the equipment needed for the role
Opportunity for rapid career progression with plenty of room for personal growth!
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
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