Family Health Advocate - Remote

Lensa; Augusta (ME); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to provide support to members and their families through personalized resource facilitation and healthcare navigation. This remote role requires excellent communication skills and a background in healthcare or customer service. Join us in making high-quality care more accessible for everyone.

Qualifications

• High school diploma or GED required.
• 2-year associates degree in healthcare/health sciences or equivalent experience.
• Experience in customer service within healthcare settings.

Responsibilities

• Answer inquiries regarding eligibility and benefit education.
• Provide proactive care guidance and manage member preferences.
• Coordinate issue resolution with providers and payers.

Skills

Multi-channel communication

Problem-solving

Effective communication

Education

High school / GED diploma

2-year associates degree in healthcare/health sciences

Job description

18 hours ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, Sharecare, is seeking professionals. Apply via Lensa today!

Job Description

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com.

Job Summary

Start Date: Monday, June 16th, 2025

Training Schedule: Monday- Friday, 8:00am-4:00pm CST

Assigned shift could be at any time between 7:00am-7:00pm CST after training.

The role of the Family Health Advocate is an exciting and innovative remote role created to provide meaningful support to members and their families through personalized resource and referral facilitation, issue resolution, and healthcare navigation. Utilizing motivational interviewing and guided approaches, the family health advocate will play a critical role in supporting members to achieve their health goals, reduce costs, and optimize quality care.

Essential Job Functions

• Answer inquiries from members (via voice and chat) regarding eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plans.
• Provider search (PCP, specialty, and facility), focusing on healthcare cost and quality, and presenting premier provider options.
• Support for spending accounts, pharmacy, and disability.
• Assistance with incentives and rewards.
• Aid with ordering durable medical equipment (DME).
• Community resource search.
• Member preferences management.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances and appeals submissions, utilization management intake or status, complex pharmacy and spending account inquiries.
• Provide proactive care guidance, including closing care gaps, benefits education, preparing members for procedures, and referring to care management or clinical advocates as needed.
• Understand and communicate benefit design packages, handle benefit and enrollment issues, and drive member engagement into appropriate programs.

Specific Skills/Attributes

• Excellent multi-channel communication and problem-solving skills.
• Effective communication in voice and chat channels, with strong typing, grammar, and spelling skills.

Qualifications

• High school / GED diploma.
• 2-year associates degree in healthcare/health sciences or equivalent experience, or prior roles such as Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in customer service within healthcare settings and resolving high-level/sensitive issues.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, or other protected statuses.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting

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