Description We are looking for a dedicated Member Services Representative II to join our team in Pearland, Texas. This role is a long-term contract position where you will deliver exceptional service to health plan members by addressing inquiries, resolving concerns, and supporting retention initiatives. Ideal candidates will have a strong understanding of Medicare policies and health plan operations, as well as the ability to handle both inbound and outbound communications effectively. Responsibilities: • Provide high-quality concierge-level service to health plan members through phone and chat communications. • Conduct outreach calls to educate members on health plan policies, promote retention efforts, and gather required survey responses. • Address and resolve inquiries related to claims, premium billing, benefit coverage, referrals, and prescription drug issues. • Interpret and apply Medicare policies, including enrollment processes, low-income subsidies, and beneficiary protections. • Assist members with appointment scheduling and follow up on disenrollment reasons to improve retention. • Utilize software tools, including Epic, to manage administrative tasks and respond to member needs efficiently. • Support chat-based member interactions while maintaining excellent service standards. • Ensure compliance with quality and productivity metrics in all member and provider interactions. • Provide language interpretation services, including Spanish, to meet the needs of diverse members. • Collaborate with internal teams to address operational issues and improve overall service delivery. Requirements • Proven experience in customer service, preferably within a healthcare or health plan setting. • Solid understanding of Medicare policies, coverage rules, and beneficiary protections. • Proficiency in using software applications such as Epic for managing member inquiries and administrative tasks. • Strong organizational and multitasking skills to handle a variety of member and provider concerns. • Excellent verbal and written communication skills, including the ability to provide language interpretation in Spanish. • Familiarity with medical billing, claims administration, and benefit functions. • Ability to meet productivity and quality standards in a fast-paced environment. • Exceptional interpersonal skills to build trust and rapport with members and providers. TalentMatch® Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .