Role Description
Is your passion helping others? Are you a dynamic communicator? A team player? Do you thrive in a fast-paced environment? If so, we are looking for you!
The Healthy Outcomes Team is a health advocacy team looking for dedicated friendly colleagues to help the Medicaid population learn about and complete important health screenings and activities.
As a Health Advocate on the Healthy Outcomes Team, you will interact with members telephonically to inspire healthy behaviors. Our goal on each call is to give every member a clear understanding of their benefits for specific screenings, medications, activities, and follow-up care.
You will talk to providers and members to assist with important health services like setting appointments, filling medications, and providing resources to improve Star health outcomes.
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Inbound and outbound calls to members and providers to help scheduling services like healthcare visits, screenings, vaccinations, or medication refills.
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Working through barriers that stand in the way of our members’ good health.
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Delivering the best member experience through professional empathetic conversations.
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Providing important education to members to help them make good health decisions that improve their health.
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Accurately documenting conversations in the member’s health record.
Qualifications
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High-energy engagement to provide exceptional service.
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Empathetic, curious, with an enthusiasm for learning.
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Knowledge retention and ability to answer questions and resolve issues.
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Desire to understand and meet our members’ needs and escalate issues for resolution.
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Speed and efficiency to meet business metrics and goals.
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Ability to handle pressure and to stay calm and positive in all situations.
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Ability to work independently, apply critical thinking skills when needed, multitask with ease, and demonstrate professionalism in all interactions.
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Ability to absorb and apply new and changing information.
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Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
Requirements
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1+ year experience with production expectations or high-volume calls heavily preferred.
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2+ years’ experience with call center or outreach involving members/consumers.
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3+ years’ experience in a healthcare setting.
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Experience with behavior change.
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Experience working in mental health background.
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Experience working in community health.
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High computer literacy, including ability to troubleshoot issues.
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Proficiency with Windows and web-based applications and digital communication tools.
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Reliable high-speed internet connection (at least 50mbps) and suitable remote workspace.
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Hard wired connectivity to computer is required (DSL, satellite, and wireless broadband are not permitted).
Preferred Qualifications
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Bilingual or multilingual candidates heavily preferred.
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Experience with HEDIS screening measures.
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Medical certification (certified nursing assistant, medical assistant, etc.).
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Professional communication skills.
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Strong active listening and interpersonal skills.
Education and Certification Requirements
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High School Diploma or G.E.D.
Benefits
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Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
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Medical, dental, and vision coverage.
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Paid time off.
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Retirement savings options.
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Wellness programs and other resources, based on eligibility.