[Hiring] Health Pro @Alight

Role Description

As a Health Pro, you can expect the following:

• Receive extensive health care and case management training to support members on complicated healthcare matters.
• Advocate for members requiring guidance across the health benefits environment.
• Help members navigate questions about their benefits, identify quality and cost-effective providers, and understand benefit claims.
• Gather a full understanding of the members’ needs and own the resolution of the customer’s request.

Activities include, but are not limited to:

• Gathering information about the reason the customer is seeking support or care.
• Educating members on benefit programs provided by clients.
• Translating complex benefit details into clear, actionable guidance.
• Delivering provider recommendations and connections to clinical or employer-sponsored programs.
• Completing cost estimates and communicating out-of-pocket responsibility and claim results.
• Explaining prescription formulary options and available cost-saving opportunities.
• Proactively identifying unmet clinical needs and connecting to appropriate resources.
• Providing proactive, timely updates via phone and digital channels.
• Navigating medical bill review results and translating findings into actionable guidance.
• Drafting carrier and client appeals for healthcare services.
• Coordinating records transfers and authorization requests.

This work involves leveraging developed methodologies, navigating internal tools, and making external phone calls to resolve member needs. You will interact with members through incoming calls, emails, and messaging system interactions, utilizing exceptional communication, empathy, and problem-solving skills.

Qualifications

• 2 years billing/insurance experience, or 3 years’ experience in a billing/insurance/benefits related role.
• Ability to work effectively in a remote team environment.
• Strong problem-solving, critical thinking, and analytical skills.
• Exceptional written communication skills.
• Strong ability and desire to learn continually in a changing environment.
• Ability to efficiently organize work activities to meet deadlines.
• Passion to provide the highest level of client satisfaction.
• Ability to receive and immediately apply constructive feedback.
• Proficiency in MS Office suite.

Requirements

• Previous healthcare setting experience (preferred).
• Previous benefits and/or HR experience (preferred).

Benefits

• Comprehensive total rewards package.
• Health, dental, and vision coverages starting Day One.
• Wellbeing programs.
• Retirement plans with contribution matching.
• Generous time off and parental leave.
• Continuing education and career growth opportunities.
• Flexible working arrangements.

Company Description

At Alight, we believe a company’s success starts with its people. We champion people, help our colleagues grow with purpose, and encourage them to “Be Alight.” We empower clients to build a healthier and more financially secure workforce.

Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.”