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 our 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

Pay Range: $18.50 - $42.35 per hour