Outreach Specialist

Elevance Health • Arlington, VA

2d • Hybrid

About The Position

Outreach Specialist Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Open to Virginia applicants in Newport News or Hampton. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday, 9 am - 5:30 pm EST The Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and current and potential members.

Requirements

• Requires HS Diploma or equivalent and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.

Nice To Haves

• Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
• For Medicaid business units, a Community Health Worker Certification must be obtained in the first 6 months of employment.
• Community Health Worker (CHW) preferred

Responsibilities

• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
• Supports and promotes State Sponsored Programs through participation in community events.
• Represents State Sponsored Programs in community collaborations.
• Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
• Performs new member orientations.
• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
• Provides superior, professional, and courteous service to customers.
• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees