[Hiring] Research Analyst- Family Health Advocate @Sharecare Operating Company, Inc.
Mar 26, 2025 - Sharecare Operating Company, Inc. is hiring a remote Research Analyst- Family Health Advocate. đź’¸ Salary: unspecified. đź“ŤLocation: USA.
Role Description
The role of the Family Health Advocate-Research Analyst is an exciting and integral role in providing meaningful advocacy support to members and their families through personalized resource and referral facilitation, issue resolution and healthcare navigation.
- Provide research to support and resolve cases originating from Family Health Advocates that require additional follow up.
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Case follow-ups include but are not limited to:
- Coordination of benefits
- Health claim appeals
- Re-submissions and/or re-coding
- EOB reviews
- Researching provider availability and scheduling appointments
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Support follow up needs from Family Health Advocate calls for the following:
- Research and resolution to eligibility, claims issues, ID card issues, grievances/appeals, utilization management (UM) status including but not limited to medical, dental, and vision plans
- Provider search (PCP, specialty, and facility), focused on healthcare cost and quality, and present premier provider options
- Support for spending accounts, pharmacy, and disability
- Aid with ordering durable medical equipment (DME)
- Community resource search
-
Coordinate issue resolution with providers, payers or 3rd parties for:
- Claims adjustments
- Grievances and appeals submissions
- Utilization management intake or status
- Complex pharmacy inquiries
- Complex spending account inquiries
- Appointment availability
- Research and documentation of issue resolutions
- Timely management of assigned queue tasks requiring research and resolution
- Work closely with assigned Family Health Advocates to ensure timely resolution and follow up of tasks
Qualifications
- High school / GED diploma
- 2-yr associates degree in healthcare/health sciences OR equivalent experience in healthcare, preferably with research and resolving benefits and claims
-
Held one or more of the following positions:
- Health Guide/Advocate/Navigator
- Claims Specialist/Processor
- Medical Assistant
- Medical Secretary/Clinic Manager
- Medical Coder
- Customer service experience within a healthcare contact center, provider office, or healthcare institution
- Experience in successful resolution of high level/sensitive customer service issues
Requirements
- Excellent multi-channel communication and problem-solving skills
- Ability to communicate effectively in both voice and chat channels
- Critical thinking skills, effective typing, grammar, and spelling skills
- Proficient in general office tool use and navigation (i.e., Microsoft)
Company Description
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Everyone lives better, longer. That’s the vision. We’re making strides every day by bringing together the many different elements of health for you, your family, and your community. It’s not easy connecting doctors, health plans, employers, useful tools, quality information, and more to deliver what you need when you need it. But that’s what makes Sharecare special. We’re putting the power of living your healthiest life in your hands.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
đź’¸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 26, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
