Care Connector

About the role

The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.

Responsibilities

• Support daily operations of integrated care management and utilization management program interventions
• Perform in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company
• Under the direction of Clinical staff, provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care

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

Qualifications

• 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

Skills

• Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports
• Attention to detail and confidentiality with strong organizational 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

Work environment

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.