Government Programs Care Manager Support Specialist I
About The Position
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position supports administrative care management duties including member and provider outreach, supporting healthcare initiatives and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, data entry and research, supporting member non-clinical needs. This position may be responsible to 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 experience with communication systems including Fax, Email and Telephone
- 1 year experience with managed care system(s) or healthcare systems (i.e.; hospital ,doctor office, community based organization).
- 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 communications skills including developing written correspondence to internal and external stakeholders.
Nice To Haves
- College courses in medical field, human services, social work, psychology or related healthcare field
Responsibilities
- Supports administrative care management duties
- Member and provider outreach
- Supporting healthcare initiatives and activities including educational and quality campaigns
- Assistance in scheduling care manager and member appointments
- Responding to member inquiries
- Data entry and research
- Supporting member non-clinical needs
- Manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries.
Benefits
- health and wellness benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Insurance Carriers and Related Activities
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
