Health Program Representative I

3 weeks ago


Mason, United States Elevance Health Full time

Title: Health Program Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features. How you will make an impact: Gathers and records appropriate member information in accordance with policies and procedures via telephone. Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services. Records call details and utilize call scripts as needed based on client requirements. Directs member inquiries to appropriate clinical staff. Initiates referrals and manages consults from clinicians for participants registered in Care Management. Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources. Contacts physician offices to obtain demographic information or related data as needed. Minimum Requirements HS diploma or the equivalent Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background. Preferred Qualifications Computer/keyboarding proficiency strongly preferred. Knowledge of company products, services and benefits preferred. Experience in call center environment preferred. Able to work 11:00am - 7:30pm EST highly preferred. Knowledge of health care and health coaching preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.



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