Care Connector

The Role

The Care Connector supports the daily operations of integrated care management and utilization management program interventions. This role operates in a contact center environment, handling calls from Members, Providers, and other areas, both internally and externally.

Responsibilities

• Process calls from Members, Providers, and other areas, internal and external to the company
• Provide educational materials to Members and carry out strategies to increase healthcare adherence and reduce barriers to care under the direction of Clinical staff
• Operate in a contact center environment, managing multiple tasks simultaneously

Requirements

• High School Diploma or equivalent required
• Minimum of two (2) years of work experience in a healthcare environment required
• Minimum of one (1) year of telephonic customer service experience required, preferably within a healthcare setting
• Managed care experience preferred
• Medical terminology, ICD, CPT, and/or coding experience preferred
• Strongly prefer Medical Assistant, Home Health Aide, Nursing Assistant, or other similar health care para-professional training or certification
• Prior member service or customer service telephone experience desired
• Prior behavioral health experience is a plus

Qualifications

• Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports
• Proficient PC skills in a Windows-based environment, MS Office products, including word processing, spreadsheets, and database programs

Skills

• Proficient PC skills in a Windows-based environment, MS Office products, including word processing, spreadsheets, and database programs

Benefits

• Flexible work solutions including remote options, hybrid work schedules
• Competitive pay
• Paid time off including holidays and volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement and more