Job Information
Elevance Health Health Program Representative I in Cincinnati, Ohio
Title: Health Program Representative I
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The ideal candidate will be able to work a 8 hour shift between 11:00am - 7:30pm EST Monday - Friday.
The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.
How you will make an impact:
Gathers and records appropriate member information in accordance with policies and procedures via telephone.
Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
Records call details and utilize call scripts as needed based on client requirements.
Directs member inquiries to appropriate clinical staff.
Initiates referrals and manages consults from clinicians for participants registered in Care Management.
Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
Contacts physician offices to obtain demographic information or related data as needed.
Minimum Requirements
HS diploma or the equivalent
Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
Computer/keyboarding proficiency strongly preferred.
Knowledge of company products, services and benefits preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Elevance Health
- Elevance Health Jobs