Remote Scheduling Specialist

Alignment Health • California Corporate Office, CA

1d • $41,600 - $57,600 • Remote

About The Position

The Scheduling Specialist provides outreach and support to help eligible members access available clinical and patient programs. The role guides members through programs for which they may be eligible and schedules services that best suit their needs, supporting them throughout their healthcare journey. The specialist uses strong customer service skills and contributes to the team’s impact on members’ healthcare outcomes.

The specialist serves as a subject matter expert on clinical programs, conducts inbound and outbound member calls, coordinates with internal and external partners, identifies care gaps and campaign opportunities, assesses program eligibility, and connects members with appropriate providers or vendors. The role also requires accurate, real-time documentation across required systems, timely activity reporting, and achievement of individual and team goals. Full-time and overtime availability is required during the Annual Enrollment Period (October–December) and Open Enrollment Period (January–March).

Requirements

• At least 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.
• High school diploma or GED.
• Ability to communicate positively, professionally, and effectively; provide leadership; teach; and collaborate with others.
• Effective written and oral communication skills and ability to build and maintain constructive relationships with diverse members, management, employees, and vendors.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; write routine reports and correspondence; and speak effectively before groups of customers or employees.
• Ability to perform basic arithmetic, including addition, subtraction, multiplication, and division, and to use these operations with American money and customary units of measurement.
• Ability to follow detailed but uncomplicated written or oral instructions and address problems involving a few concrete variables in standardized situations.
• Strong computer skills and typing speed of at least 40 words per minute.
• Effective problem-solving, organizational, and time-management skills, and ability to work in a fast-paced environment.
• Must be available to work full-time and overtime during the Annual Enrollment Period (October–December) and Open Enrollment Period (January–March).

Nice To Haves

• Experience in a clinical setting managing provider schedules.
• Experience helping members navigate Medicare Advantage medical, prescription drug, and supplemental benefits.
• Call center experience in welcome/onboarding, appointment scheduling, retention, sales, or other healthcare or health plan programs; or inbound call center experience involving higher-level problem-solving such as escalation or resolution.
• College courses.
• Bilingual English/Spanish, Vietnamese, Mandarin Chinese, or Korean.

Responsibilities

• Serve as a subject matter expert on member-eligible clinical programs, including procedures, Health Assessment scheduling, protocols, benefits, services, and information needed to resolve member questions and issues.
• Make outbound member outreach calls and receive inbound calls within departmental timeframes, accommodating member communication preferences where possible and using interpreter services as needed.
• Collaborate with other departments, Member Services, Clinical Departments, and other partners to facilitate the member experience.
• Identify members targeted for care-gap and other campaigns; assess available programs and eligibility; and connect members to appropriate programs, services, providers, or vendors.
• Document interactions in real time and complete timely wrap-up in required systems and applications to support outcomes reporting; accurately enter member demographics and other information.
• Meet or exceed individual and team goals and submit activity reports in the required format and frequency.
• Provide excellent customer service and contribute to a culture of going above and beyond to support member satisfaction.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED