Onboarding Specialist

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🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $47.4k - $76k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚀 Onboarding Specialist

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Serve as the primary member contact and advocate until the member’s care team is established • Conduct direct member outreach and provide inbound call support • Use claims, referrals, pharmacy data, and other resources to identify contact information for hard-to-reach members • Orient new members to CCA health plan offerings and answer questions or concerns • Document members’ current healthcare services and new service requests • Coordinate with healthcare providers to ensure continuity of services during transition to CCA • Schedule members’ initial nurse intake visits • Use motivational interviewing to engage members and build trusting relationships • Follow established workflows and collaborate with internal and external stakeholders and healthcare providers • Provide clinically appropriate clinical care and care management services via telehealth technologies • Perform other related duties as requested

🎯 Requirements

• Bachelor’s Degree or relevant call center and/or Medicare/Medicaid plan experience required • Equivalent years of relevant work experience may be accepted in lieu of required education • Five (5) years of relevant experience required • One (1) year working in outreach or in the community with individuals facing behavioral, medical, social, or interpersonal complexities required • Experience working in a multi-cultural setting required • Experience using motivational interviewing techniques in a professional setting required • Experience identifying unmet healthcare needs and escalating to the appropriate individual preferred • Experience with electronic medical record and care management systems strongly preferred • Demonstrated understanding of the community served • Familiarity with data entry and querying databases • Excellent telephonic communication skills and cultural sensitivity • Strong interpersonal, customer relation, active listening, dependability, and responsiveness skills • Ability to establish boundaries and clarify roles, expectations, and deliverables • Ability to develop and maintain positive working relationships • Knowledge of medical terminology preferred • Ability to multitask and work thoroughly in a fast-paced environment • Basic computer skills • Professional, comprehensive, clear documentation skills • Familiarity with Microsoft Office programs: Outlook, Calendar, Word • Willingness to learn and use telehealth technologies • No licensure or certification required

🏖️ Benefits

• Base compensation of $47,400.00–$76,000.00 • May qualify for a bonus tied to company and individual performance • Substantial and comprehensive total rewards package • Employee total well-being support