How Much Does a Member Care Representative make?

Member Care Representative made a median salary around $36,280 in December, 2024. The best-paid 25 percent made $40,577 probably that year, while the lowest-paid 25 percent made around $33,384. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.
download asset banner
Facing Salary Structure Challenges? Let Our Expert Guide You
The job market is increasingly challenging. Our whitepaper, Navigating the Challenges of Creating Salary Structures, offers guidance on creating salary structures. Provide your phone number and work email to download the full version.
We will handle your contact details in line with our Privacy Policy. If you prefer not to receive marketing emails from Salary.com, you can opt-out out of marketing communications at any time by clicking unsubscribe.

Best-Paying Cities for Member Care Representative

The metropolitan areas that pay the highest salary in the Member Care Representative profession are Edwardsville , Fruithurst , Graham , Muscadine , Ranburne .
Edwardsville, AL $38,372
Fruithurst, AL $38,372
Graham, AL $38,372
Muscadine, AL $38,372
Ranburne, AL $38,372

Best-Paying States for Member Care Representative

The states and districts that pay Member Care Representative the highest salary are District of Columbia (around $43,939) , California (around $43,544) , New Jersey (around $43,268) , Alaska (around $42,991) , and Massachusetts (around $42,952) .
District of Columbia $43,939
California $43,544
New Jersey $43,268
Alaska $42,991
Massachusetts $42,952

What is the Career Path of Member Care Representative?

A career path is a sequence of jobs that leads to your short- and long-term career goals. Some follow a linear career path within one field, while others change fields periodically to achieve career or personal goals.

For Member Care Representative, the first career path typically starts with a Managed Care Coordinator position , and then progresses to Managed Care Supervisor.

Additionally, the second career path typically starts with a Member Services Representative, Sr. position , and then progresses to Member Services Manager.

Frequently Asked Questions for Member Care Representative

Q: What is the salary range of Member Care Representative in Alabama?
A: In 2024 , the lowest-paid Member Care Representative in Alabama earned an average annual salary of $33,384 , while the highest-paid made $40,577.
Q: What is the salary for a Member Care Representative in California?
A: Member Care Representative employed in California earned an average salary of $43,544 in 2024.

Average Member Care Representative Pay vs. Other Jobs

Member Care Representative earned an average salary of $36,280 in 2024. Other jobs related to Member Care Representative earned the following average salary in December, 2024. Member Services Representative made $35,964 , Member Services Representative, Sr. made $47,935 , Health Plan Member Services Representative and Health Plan Member Support Representative made $36,000 and $35,970 respectively .

Relevant Jobs of Member Care Representative

Member Services Representative - Average Salary $35,964
Member Services Representative addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls, or written questions. Being a Member Services Representative provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Member Services Representative typically requires 1-3 years of related experience.
Member Services Representative, Sr. - Average Salary $47,935
Member Services Representative, Sr. addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience.
The Health Plan Member Services Representative is responsible for receiving, responding to, and directing member phone calls, or written questions. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Services Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Services Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Services Representative gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Health Plan Member Services Representative typically requires 1-3 years of related experience.
The Health Plan Member Support Representative is responsible for receiving, responding to, and directing member phone calls, or written questions. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Support Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Support Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Support Representative gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Health Plan Member Support Representative typically requires 1-3 years of related experience.
The Health Plan Member Services Senior Representative is responsible for receiving, responding to, and directing member phone calls and written requests. Addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Services Senior Representative maintains confidentiality per HIPAA guidelines. Provides available information upon request and researches or escalates issues as appropriate. In addition, Health Plan Member Services Senior Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. Being a Health Plan Member Services Senior Representative has gained proficiency in multiple competencies relevant to the job. Works independently within established procedures associated with the specific job function. Working as a Health Plan Member Services Senior Representative typically requires 3-5 years of related experience.