Highmark Health
Outreach Representative
PA, Working at Home - Pennsylvania
Sponsorship not specified$10k-$25kDetected 9 hours ago
ComplianceAccessibilityCustomer SupportHIPAAProblem SolvingTime Management
About the role
- This job is responsible for serving as a liaison between the member, the Health Plan, and the relevant state and/or federal regulators.
- This position is also responsible for assisting members in navigating the grievance and appeals process and representing member interests internally and externally.
- Communicate effectively with staff, providers and members to accomplish business and member needs
Responsibilities
- The position conducts telephonic support to assess member needs, provide appointment scheduling assistance, and educating members of their rights and responsibilities.
Requirements
- Physical work site required
- It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
- As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
- Associate's Degree
Nice to have
- 1 year in Community Outreach or Customer Service
- Experience working with the Medicaid and/or Medicare population
Skills
- Must be proactive, self-directed, assertive and creative in problem solving and system planning
- Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously
- Must demonstrate sound judgment and discretion when approaching problems and making decisions
- This job requires the ability to work independently and as a team member
- Language (Other than English):
- Travel Requirement:
- PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
- Position Type
- Office-based
- Teaches / trains others regularly
- Occasionally
- Travel regularly from the office to various work sites or from site-to-site
Compensation
- Pay Range Maximum:
- Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
- The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Benefits
- Initiate outreach efforts, primarily by telephone, related to targeted preventive health initiatives:
- Perform member education functions on the importance of targeted preventive health service
- Contact members, providers and community agencies to coordinate access to preventive health services
Company info
- Highmark Inc.
- Job Description:
- Recruit, holistically assess and enroll members into Disease Management Programs as appropriate
- Assess opportunity for Care Management intervention and make appropriate referral
- Tracks all member and provider contacts in the appropriate computer systems for the purposes of data collection and record keeping
- Participate in the development of outreach programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members.
- Other duties as assigned or requested.
Equal opportunity
- For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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This listing is sourced directly from Highmark Health's careers page and normalized into a canonical job model.