Job Details

ID #3637958
Estado New Jersey
Ciudad Iselin
Full-time
Salario USD TBD TBD
Fuente Anthem, Inc.
Showed 2020-03-24
Fecha 2020-03-25
Fecha tope 2020-05-24
Categoría Etcétera
Crear un currículum vítae

Health Program Representative II - Iselin, NJ - PS34019

New Jersey, Iselin 00000 Iselin USA

Vacancy caducado!

Health Program Representative II - Iselin, NJ - PS34019Location: Iselin, New Jersey, United StatesNewRequisition #: PS34019Health Program RepresentativeResponsible for providing initial contact between distinct Care Management programs and specific identified members. Under general supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.Primary duties may include, but are not limited to:

Gathers and records appropriate member information in accordance with policies and procedures via telephone.

Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.

Records call details and utilize call scripts as needed based on client requirements.

Directs member inquiries to appropriate clinical staff.

Initiates referrals and manages consults from clinicians for participants registered in Care Management. Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.

Contacts physician offices to obtain demographic information or related data as needed.

Mentors less experienced Health Program Advocates.

Up to 20% travel to physician's offices within state

Requires a HS diploma or the equivalent;

6 months experience in Level 1 role; or any combinationof education and experience, which would provide an equivalentbackground.

Demonstrated proficiency in Level 1 role.

Past experience demonstrating analyticalthinking.

Demonstrated ability to perform in multiple systems,apply a unique set of criteria as required to manage within amultifunctional role.

Bilingual Spanish preferred

AnEqualOpportunityEmployer/Disability/Veteran

Vacancy caducado!

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