Care Engagement Specialist

Position Purpose

Care Engagement is responsible for supporting the organization’s goals of obtaining health needs screenings, scheduling preventive service appointments and educating members on plan benefits and services. The role provides members with educational materials and carries out strategies to increase health‑care adherence and reduce barriers to care.

Eligibility

Must be authorized to work in the United States without the need for employment‑based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including H‑1B, L‑1, O‑1, H‑1B1, F‑1, J‑1, OPT, or CPT.

Responsibilities

• Make outbound or receive inbound calls from members to schedule doctor appointments, assist members in completing health‑needs screenings, or process payments to become eligible for enhanced benefits.
• Influence members to take advantage of additional benefits by educating them on enhanced services and recommending preferred providers.
• Educate members on appropriate utilization of Emergency Departments for non‑emergent conditions and the impact on their benefits.
• Identify and overcome barriers so members can complete needed health screenings, obtain services, or make payments to secure enhanced benefits.
• Review each member profile prior to outreach to identify areas of opportunity, including additional benefits and eligibility for further programs.
• Participate in continuous quality‑improvement initiatives to ensure department and company goals are met and exceeded.
• Review and analyze call‑report data to adjust outreach approaches as needed.
• Act as a secondary resource for the Member Services or Provider Services call centers.

Education & Experience

• High School diploma or equivalent + 3+ years of sales experience in a call‑center or other high‑pressure sales environment, or experience in member, provider, or customer service.
• Bachelor’s degree in healthcare, business administration, or a related field + 1+ year of sales experience in a call‑center or other high‑pressure sales situation, or experience in member, provider, or customer service.
• Bilingual in Spanish and English preferred.

Pay

$19.43 – $32.98 per hour (actual pay adjusted based on skills, experience, education, and other job‑related factors).

Benefits

• Competitive pay
• Health insurance
• 401(k) and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work arrangements (remote, hybrid, field, or office)
• Potential additional incentives and compensation based on eligibility