Care Engagement Specialist 3

BCforward is currently seeking a highly motivated Care Engagement Specialist 3 at CST Remote.

Position Title: Care Engagement Specialist 3

Location: CST Remote

Anticipated Start Date: 02/17/2025

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 5+ Months

Job Type: [FULL TIME (>%3D40 HRS WEEKLY)/ [TEMP], [Remote]

Pay Range: $16/Hr - $19/Hr

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

Care Engagement is responsible for supporting the organizations goals of obtaining health needs screenings, scheduling preventive service appointments and educating members on plan benefits and services. Provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.. Job 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

Internal/External Groups with which the Candidate will interface:

Required Skills/Experience:

Preferred Skills/ Experience:

1.

Member Outreach Experience

1.

HEDIS or NCQA Knowledge

2.

Health Care Experience

2.

3.

Clear communication skills and detail oriented

3.

Education Requirement:

HS Diploma

Education Preferred:

Software Skills Required:

Microsoft outlook, word, excel

Required Certifications:

Required Testing:

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 234091 when responding to this ad.

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