Government Programs Care Manager Support Specialist I

🔥 9 minutes ago

🌶️ New Mexico – Remote

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💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Health Care Service Corporation

Health Care Service Corporation

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Support administrative care management duties • Conduct member and provider outreach • Support healthcare initiatives and activities, including educational and quality campaigns • Assist with scheduling care manager and member appointments • Respond to member inquiries • Perform data entry and research • Support members' non-clinical needs • Manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries

🎯 Requirements

• High school diploma or GED • 1 year of college and 2 years of experience with communication systems including Fax, Email and Telephone • 1 year of experience with managed care system(s) or healthcare systems • Experience coordinating member needs, providing assistance to members, and analyzing member needs • Basic knowledge of medical or healthcare terminology • Knowledge of clinical systems (claims, enrollment, documentation) • PC proficiency including Microsoft Office applications • Customer service skills • Verbal and written communication skills, including developing written correspondence to internal and external stakeholders • Must reside anywhere within the state of New Mexico • Employment may be contingent upon successful completion of drug screening

🏖️ Benefits

• Professional development and curated development plans • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan

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