Care Advocate

Prominence-Health-Plan; McAllen (TX); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Generous Paid Time Off

Excellent Medical/Dental/Vision plans

401(k) with company match

Job summary

Prominence Health is seeking a Care Advocate to educate members and providers about Medicare plans, assist with scheduling appointments, navigate bills, and arrange transportation for members. This role supports value-based care initiatives within Universal Health Services’ network and requires strong communication and customer service skills.

The position emphasizes empathy, problem solving, and teamwork in a fast-paced environment.

Qualifications

• Strong communication skills both written and verbal.
• Positive customer service skills including empathy and compassion when resolving member/provider questions.
• Resourceful with good problem solving abilities and attention to detail.
• Teamwork orientation and flexibility to meet changing business demands.
• Ability to learn new lines of business, software, and processes.

Responsibilities

• Educate members and providers about benefit plans.
• Schedule member appointments and navigate bills for Medicare lines of business.
• Arrange transportation for members as needed.
• Assist with navigating provider networks and benefits information.

Skills

Communication skills

Customer service

Problem solving

Attention to detail

Teamwork

Flexibility

Education

High school diploma or GED

AA degree preferred

Job description

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary:

The Care Advocate is a dedicated health care professional who compassionately and quickly advocate s for our member’s care through educating members and providers of the benefit plans, scheduling member appointments, navigating bills, and arranging transportation for Medicare lines of business.

Benefit Highlights:

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Qualifications and Requirements:

• High school Diploma or GED required. AA degree preferred.
• Basic understanding of medical and health care terms and processes preferred.
• Strong communication skills both written and verbal.
• Positive customer service skills including active listening, empathy and compassion when resolving member and provider questions, problems or complaints
• Resourceful, good problem solving abilities, attention to detail, and teamwork orientation.
• Technical proficiency as it relates to software navigation, web-based program organization, and a clear understanding of office program.
• Flexibility to meet the changing demands of the business.
• Ability to be present, complete any task assigned, consistently do the right thing, work together toward the business goals
• Appetite for growth, learning and working in a fast-paced, challenging environment.
• Ability to learn new lines of business, software, platforms and methods for processing member and provider service requests.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.