Care Management Support Coordinator

Immediate need for a talented Care Management Support Coordinator. This is a 06 months contract opportunity with long-term potential and is located in Navada(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-87329

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:

• Shift:Training: 8am-5pm PST mon-fri – 3 weeks (may be longer) CAMERAS ON and no time off during duration of training, after training 8am-5pm mon-fri PST.
• Inbound calls from members via phone (INBOUND) to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for the members only.
• May receive provide outreach but will direct the call to the appropriate department.
• Provides support to members to connect them to other health plans 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 membership
• Documents and maintain non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements
• Call Center receiving inbound calls supporting Care management Team
• Fast Paced Call Center -receiving inbound calls from existing members (around 20-60 calls per day)
• Calling existing members and discussing member’s care/ medical reasons for members to sign up for the program.
• Enrolling members into Care Management program
• Production/Sales based role-They will be monitored on the number of members they sign up for program, call volume
• Data Entry into True Care
• Role may change at some point-must be open to change and flexible on types of calls they are making (depending on need of business) they will remain on the phones but the types of calls they handle can vary.

Key Requirements and Technology Experience: 

• Key skills; Experience working in a fast-paced high call environment with health care customer services knowledge
• Sales related conversational interviewing
• Excel and MS office; multitasking skills a must; organized
• Education/Certification: High School Diploma or equivalent
• Ability to navigate multiple systems.
• Excel exp preferred for basic reporting.
• Healthcare experience required!
• Call Center Experience Required
• Sales experience highly preferred ability to make sale pitch to existing members

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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