Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II. This is a 06+ months contract opportunity with long-term potential and is located in Tampa, FL / Charlotte, NC / Hazard, KY / St. Louis, MO / Tempe/Phoenix, AZ(Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-78523
 
Pay Range: $17 - $19/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities: 

• Shift: Training 9AM-5:30PM M-F about 3 weeks after training 8:30am-5:00pm EST, M-F.
• Note: This position is Remote Role. However, we might require them to come into one of our five offices if there is ever a training or meeting that requires their presence.
• Therefore, they must be willing and able to get themselves to one of our offices in one of the following cities: Tampa, FL / Charlotte, NC / Hazard, KY / St. Louis, MO / Tempe/Phoenix, AZ
• Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
• May apply working knowledge of assigned health plan(s) activities and resources
• Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
• Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
• Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
• Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
• Performs other duties as assigned
• Complies with all policies and standards

 
Key Requirements and Technology Experience:  

• Key skills; Requires a High School diploma or GED
• Experience in call center setting and being accountable to meeting call center metrics.
• 2+ years role in healthcare industry (i.e. medical office, medical assistant, medical customer assistance. etc.)
• Spanish-speaker preferred.
• Due to the nature of our work, it is important for the candidate to be tech savvy and able to quickly move between computer systems.
• Professional, accurate, and concise verbal/written communication.
• Computer skills, including but not limited to the following: ability to trouble shoot technical issues, navigating through several different systems, applications, internet tabs, email, etc.
• Time management and self-accountability.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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