Care Engagement Specialist 1

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. 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. 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. Years of experience required: 2+ years work experience- outbound experience, some office experience, working from home experience Top 3 must-have skills Outbound call handling and member outreach experience Accurate documentation and data entry in multiple systems Appointment scheduling and care coordination support for SDOH resource needs

salary: $22.99 - $23 per hour
shift: First
work hours: 8:30 AM - 5 PM
education: High School

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

Skills

• inbound calls
• schedule appointments
• assist members

Qualifications

• Years of experience: 3 years
• Experience level: Experienced

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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on us.fitly.work.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.