Care Management Support Assistant

About the position

Humana Healthy Horizons in Virginia is looking for Care Management Support Assistants who will support the administration of care management. This virtual team mainly performs moderately complex administrative support tasks for the Commonwealth of Virginia Medicaid program. Contributes to the administration of care management. Provides care management (CM) support by managing shared mailboxes and entering data into work queues, mailing letters/educational material, researching unable to contact members and will complete other administrative functions, as assigned. Ensures the timely and correct submission of Commonwealth-required deliverables, research alternative contact information for hard-to-search members, contact members to engage them in our care management programs, and support inbound call escalations. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state. Interacts with Coordinators (Care Coaches) and Field Care Managers who guide members and their families toward and facilitate interaction with resources appropriate for care and well-being. Performs varied activities clerical activities including reporting data, tracking data, pulling reports and monitoring/managing email. Performs computations. Typically works on semi-routine assignments that are subject to change. May make, receive, and soft transfer calls to and from members, providers, family, etc. Ensures timely communication and follow up occurs with care management.

Responsibilities

• Support the administration of care management.
• Manage shared mailboxes and enter data into work queues.
• Mail letters and educational material.
• Research unable to contact members and complete other administrative functions as assigned.
• Ensure timely and correct submission of Commonwealth-required deliverables.
• Research alternative contact information for hard-to-search members.
• Contact members to engage them in care management programs.
• Support inbound call escalations.
• Provide non-clinical support to the assessment and evaluation of members' needs.
• Interact with Coordinators and Field Care Managers.
• Perform clerical activities including reporting data, tracking data, and pulling reports.
• Monitor and manage email communications.
• Make, receive, and soft transfer calls to and from members, providers, and family.

Requirements

• Must reside in the Commonwealth of Virginia.
• One (1) year of providing administrative support in healthcare or a related setting.
• Intermediate working knowledge using Microsoft Office Programs specifically Excel, PowerPoint, Outlook and Word.
• Strong organizational skills with ability to manage multiple priorities.
• Excellent time management skills.
• Ability to follow through on tasks and complete assignments.
• Demonstrated collaboration and teamwork in a virtual environment.
• Exceptional communication & interpersonal skills.

Nice-to-haves

• Previous experience working in healthcare with Medicare, Medicaid and Dual eligible populations.
• Experience providing administrative support in a healthcare setting with older adults or persons with disabilities.
• Computerized Documentation experience preferred.
• Knowledge of community health and social service agencies and additional community resources.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, volunteer time off.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.