Care Engagement Specialist Job at WellCare of Kentucky, Remote

bi8zcDBnMGZ0ZmdEMG5xeHltb3VueEphUWc9PQ==
  • WellCare of Kentucky
  • Remote

Job Description

Care Engagement Specialist Location Remote in Kentucky :

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Care Engagement is responsible for supporting the organization's 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.

  • Candidates need to be located in the state of Kentucky or in southern Indiana. Prefers candidates located near Lexington.
  • 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.

Education/Experience: High School diploma or equivalent and 3+ years of sales experience in a call center or other high pressure sales environment, or experience in member, provider, customer service, or call center; or Bachelor degree in healthcare, business administration, or related field and 1+ years of sales experience in a call center or other high pressure sales situation, or experience in member, provider, customer service, or call center. Bilingual in Spanish and English preferred.

  • Candidates need to be located in the state of Kentucky or in southern Indiana. Prefers candidates located near Lexington.
Pay Range: $18.27 - $31.10 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Tags

Hourly pay, Holiday work, Full time, Remote job, Flexible hours,

Similar Jobs

Datamark, Inc.

Data Entry Operator Job at Datamark, Inc.

 ...Join the DATAMARK, Inc. Team as a Data Entry Operator! Are you looking for an exciting opportunity to utilize your data entry skills...  ...well in a team setting Benefits ~ Health Care Plan (Medical, Dental & Vision) ~ Retirement Plan (401k, IRA) ~ Life Insurance... 

Summit Business Group

Sales Representative Job at Summit Business Group

Company: Summit Business Group Position: Direct Sales Representative Number Of Openings: 1 Territory Sales About Us: Summit Business Group is a rapidly growing insurance agency committed to providing outstanding supplemental benefits plans to small and medium-sized businesses... 

TRM Healthcare

Dental Hygienist Job at TRM Healthcare

Full Time Opportunity for a Registered Dental Hygienist! We are a Private Dental Office. We treat both Adult & Children patients We have a great team! Our Position can be Full Time. We are open Tuesday thru Friday: 8am - 5pm We are closed on the weekends... 

Brienza's Academic Advantage

Part-Time Licensed Guidance Counselor or Licensed Social worker Job at Brienza's Academic Advantage

Brienza's Academic Advantage is hiring a part-time, licensed social worker or licensed guidance counselor to work in a Boy's Elementary / high schoolYeshiva, in Brooklyn. Flexible days and hours Cannot be a Department of Education employee for 13 months

Michigan State University

Communications Manager I | Michigan State University Job at Michigan State University

 ...Position Summary Representing the Communications office within the College of Social Science at Michigan State University, this position will be responsible for creating and producing communications/marketing related content within the college under the direct supervision...