Family Health Advocate - Remote

Lensa; Augusta (ME); Remote; USD 60,000 - 80,000; Full time

Job description

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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

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), focused on healthcare cost and quality, and present premier provider options, including but not limited to medical, dental, and vision plans.
• 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, appeals, utilization management, and complex inquiries.
• Provide proactive care guidance, such as closing care gaps, benefits education, preparing members for procedures, and referring to care management or clinical advocates.
• Understand and communicate benefit design packages, handle benefit and enrollment issues, and drive engagement into programs and offerings.

Specific Skills/Attributes

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

Qualifications

• High school diploma or GED.
• 2-year associates degree in healthcare/health sciences or equivalent experience, or relevant healthcare 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 regardless of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, or protected veteran status.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting

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