Health Support Coordinator

4 weeks ago

Eagan, Minnesota, United States Blue Cross Blue Shield of Minnesota Full time
About Blue Cross Blue Shield of Minnesota

We are a leading health care provider with 2.5 million members, committed to reinventing health care to improve health for our members and the community. Our team is dedicated to delivering exceptional service and support to our customers.

Job Summary

The Health Support Coordinator will play a critical role in our Care Management team, providing cross-functional support to clinicians with utilization management, case management, and disease management activities. This position requires excellent communication and problem-solving skills, as well as the ability to work effectively in a fast-paced environment.

Key Responsibilities
  • Provide moderate to advanced support to CM clinicians with utilization management, case management, and disease management activities.
  • Interact with members, providers, and other stakeholders to provide customer service and resolve issues.
  • Research and apply specific guidelines, policies, and procedures as authorized by the clinical review areas and in coordination with UM/CM/DM activities.
  • Check daily activity reports and adjust work priorities accordingly.
  • Establish and maintain relationships with internal and external customers.
  • Provide regular back-up assistance to other team members.
  • Accept accountability for special projects, assignments, or reports that require moderate to complex research, analysis, and documentation skills.
Requirements
  • 2+ years of related experience.
  • Excellent data entry skills and attention to detail and accuracy.
  • Demonstrated time management skills.
  • Abilities to effectively apply and demonstrate workflow instructions and successfully meet turn-around-time expectations.
  • Good MS Office Suite skills.
  • Knowledge of mainframe, web-based applications, and populating data into MS Access databases and other systems/applications.
  • Strong interpersonal and verbal and written communication skills.
  • Strong organizational, research, and analytical skills.
  • Demonstrate decision making and problem solving skills.
  • Demonstrate the ability to effectively deal with escalated situations.
Why Work with Us?

We are an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

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