To serve as a Member and/or Provider Advocate by possessing knowledge and understanding of the organization's processes, policies and procedures in order to investigate, resolve and/or facilitate resolution of simple to moderately complex issues and/or questions reported by Client's members, prospective members, healthcare providers, or other entities relating to Managed Care Organization. Reviews systems to identify issues, comprehensively researches the issues, collaborates with other departments, communicates with internal and external resources, and creates appropriate responses.