Care Engagement Specialist 1

Immediate need for a talented Care Engagement Specialist 1. This is a 02+ Months Contract opportunity with long-term potential and is located in  KY(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-63965

Pay Range: $22 - $23/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:

• Make outbound or receive inbound calls from members to schedule doctor appointments, assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits.
• Influence members to take advantage of additional benefits available by educating members on enhanced services that are available and recommending preferred providers.
• Educate members on utilization of Emergency Departments in non-emergent conditions and the impact to their benefits.
• Identify and overcome barriers in order for members to complete needed health screenings, obtain needed services or make payments to secure enhanced benefits.
• Review each member profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for members and identify opportunities for members to become eligible for additional benefits.
• Participate in continuous quality improvement initiatives to ensure department and company goals are met and exceeded.
• Review and analyze data for call reports to make adjustments as needed to call approach for members in order to obtain information.
• Act as a secondary resource for the Member Services or Provider Services call centers.
• The monthly metric goals are: Conversions-the number of appts made during a successful call: 20% meets expectation-30% exceeds expectation
• Quality Audits: 92% or better per audit
• Call volume: 1000 or better
• HRAs Completed: 68 or better
• Care Gap Assessments Completed: 200 or better
• Adherence to schedule: 90% or better
• Consistent engagement as a WFH employee as seen in the Cloud Dialer Power BI report.

Key Requirements and Technology Experience:

• Skills-Proficient with Microsoft 365 and other software programs, Good communication and documentation skills with members facing medical needs and Good time management skills as this is a remote position.
• Worked within a Provider office, former customer service role, experience working within multiple computer systems and dialer systems.
• Proficient with Microsoft 365 and other software programs.
• Good communication and documentation skills with members facing medical needs.
• Good time management skills as this is a remote position.
• Bilingual is a plus.
• Call center experience
• Medical background.
• High school plus work experience.
• Microsoft 365, Genesys

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.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

#prof J2W:CB3