Healthcare Representative

4 weeks ago


Miami FL USA, United States Elevance Health Full time
Job Summary:

The Health Program Representative I is a key member of our team, responsible for providing exceptional service to our members. This role involves handling inbound and outbound calls to educate members on the importance of HEDIS-related Gaps in Care services, scheduling appointments, and promoting our incentive program. The ideal candidate will have a strong understanding of healthcare and excellent communication skills.

Key Responsibilities:
  • Educate members on HEDIS-related Gaps in Care services and promote our incentive program.
  • Schedule appointments and arrange transportation for members as needed.
  • Record member information and call details in accordance with company policies and procedures.
  • Direct member inquiries to appropriate clinical staff and initiate referrals as necessary.
  • Collaborate with hospitals, health plans, physicians, and vendors to gather information and resolve member issues.

Requirements:
  • High school diploma or equivalent required; 6 months of experience in telesales or customer service preferred.
  • Strong knowledge of HEDIS and healthcare industry preferred.
  • Excellent communication and interpersonal skills required.

What We Offer:

At Elevance Health, we offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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