Health Partner Engagement Specialist I

Support key Health Partners in developing and executing engagement strategies that build confidence in CareSource’s ability to fulfill promises, demonstrate integrity when resolving issues, and foster pride in collaboration.

Responsibilities

• Support account strategy and provide account support to drive overall satisfaction and engagement of key Health Partners.
• Resolve routine issues with Health Partners in accordance with department service-level agreements.
• Participate in maintaining and developing key relationships within defined Key Accounts.
• Proactively reach out to Health Partners to ensure their needs are met and assist in resolving concerns.
• Perform maintenance tasks in designated systems (e.g., PR Customer Relationship Management tool).
• Complete Health Partner education, compliance, and complaint resolution activities.
• Assign tasks to Health Partner Consultants as appropriate.
• Collaborate with departmental staff and management to improve customer satisfaction and internal operations.
• Document all provider concerns in applicable systems and work cross-functionally to resolve identified issues.
• Prepare and review analysis to assist in evaluating provider performance.
• Support recruitment and contracting efforts by building strong interpersonal relationships with providers.
• Travel regularly to conduct Health Partner visits and community-based visits to ensure effective program administration.
• Perform duties required to meet CareSource and Affiliate Companies’ contractual and regulatory obligations.
• Perform additional job duties as requested.

Requirements

• Bachelor’s degree in business, communications, or a related field, or equivalent experience.
• One to three (1–3) years of experience in the healthcare industry, account management, or sales (healthcare experience preferred).
• Intermediate proficiency in Microsoft Outlook, Word, and Excel.
• Knowledge of Cactus or similar systems.
• Understanding of reimbursement methodologies, including capitation, per diems, and discounts.
• Strong customer service, written, and oral communication skills.
• Strong problem-solving, interpersonal, and teamwork abilities.
• Ability to manage multiple projects, prioritize tasks, and demonstrate intermediate negotiation skills.
• Excellent research and analytical skills, along with marketing competencies.
• Valid driver’s license, car, and insurance for work-related travel (employment conditional on successful clearance of a driver’s license record check).
• Annual Influenza vaccination required during flu season (October 1 – March 31) as a condition of continued employment.
• Must reside in the assigned territory; exceptions may be considered based on business need.
• Flexible hours, including possible evenings and/or weekends, to meet member needs.

Pay

$49,050.00 – $78,570.00 annually. Salary is determined by a combination of education, training, experience, job scope, discretion required, and external/internal data. Eligibility for a performance-based bonus may apply.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on employee well-being.