Outreach specialist-1

Shift

Monday‑Friday

Location

Field‑based role; primary work in the field traveling to client sites or designated locations with occasional office attendance for meetings or training. Alternate locations may be considered for candidates within commuting distance. Candidates not within a reasonable commuting distance will not be considered unless an accommodation is required by law.

About the Role

The Outreach Specialist serves as the initial and main point of field contact between the company and current and potential members.

Responsibilities

• Respond to telephone, written, and in‑person inquiries and initiate steps to assist with issues relating to benefits, policies, and procedures.
• Provide timely and accurate resolution of inquiries and issues regarding benefits, services, and policies.
• Support and promote State Sponsored Programs through participation in community events.
• Represent State Sponsored Programs in community collaborations.
• Support member access to care through home visits, processing of reports, and distribution of collateral materials.
• Perform new member orientations.
• Deliver superior quality outcomes by taking ownership of issues to ensure timely resolution or follow‑up.
• Provide superior, professional, and courteous service to customers.
• Understand the cultural and linguistic needs of the Medicaid and SCHIP population.
• Know the health and social services available in the assigned region, especially those offered by community‑based organizations.
• Work professionally with the company’s associates, community‑based organizations, providers, and plan members.
• Multi‑task by handling calls, texts, facsimiles, and electronic queues while taking notes and speaking to customers.

Minimum Requirements

• High school diploma or equivalent.
• Minimum of 2 years experience in customer service, preferably in a managed‑care environment, medical office, or health insurance; or an equivalent combination of education and experience.

Preferred Skills, Capabilities, and Experiences

• Proficiency in maintaining focus during extended periods of sitting and handling multiple tasks in a fast‑paced, high‑pressure environment.
• Strong verbal and written communication skills for both virtual and in‑person interactions.
• Attention to detail, critical thinking, and problem‑solving abilities; demonstrates empathy and persistence to fully resolve caller issues.
• Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual effort.

Schedule

Structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Associates are required to work at an Elevance Health location at least once per week under the hybrid workforce strategy.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical, dental, and vision insurance
• Short‑ and long‑term disability benefits
• 401(k) with company match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources