Care Management Associate

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of eligible members.

Responsibilities:

• Provide support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems.
• Adhere to Compliance with policies and procedure/regulatory standards.
• Maintain accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
• Protect the confidentiality of member information and adhere to company policies regarding confidentiality.
• Demonstrate effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm.
• Meet daily metrics with speed, accuracy and a positive attitude.
• Coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members.
• Complete documentation of each member call in the electronic record, thoroughly completing required actions with a high level of detail to ensure compliance requirements are met with efficiency.
• Work independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring presence telephonically.
• Participate effectively in a multi-disciplinary team including internal and external participants.

Requirements:

• High School Diploma plus experience
• Effective communication, telephonic and organization skills
• Strong customer service skills
• Ability to work independently and as part of a team

Preferred Qualifications:

• 2 - 4 years’ experience in healthcare field
• Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel
• Familiarity with basic medical terminology and concepts used in care management
• Flexibility to work occasional nights and weekends outside of standard business hours
• Bilingual (Spanish)

Benefits:

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs

Salary: $18.50 - $42.35 per hour