Family Health Advocate - Remote

Lensa; Boise (ID); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to provide support to members and families through personalized resource facilitation and healthcare navigation. This remote position involves answering inquiries, coordinating issue resolution, and providing proactive care guidance. Ideal candidates will have strong communication skills and experience in healthcare customer service.

Qualifications

• Experience in customer service within healthcare settings.
• Ability to resolve high-level/sensitive issues.

Responsibilities

• Answer inquiries from members via voice and chat.
• Support provider search for PCP, specialty, and facilities.
• Conduct community resource searches and manage member preferences.

Skills

Communication

Problem Solving

Education

High school diploma or GED

2-year healthcare/health sciences degree

Job description

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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 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 position 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, including help with eligibility, benefits, open enrollment, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, covering medical, dental, and vision plans.
• Support provider search for PCP, specialty, and facilities, focusing on healthcare cost and quality, and present provider options.
• Assist with spending accounts, pharmacy, disability, incentives, rewards, and ordering durable medical equipment (DME).
• Conduct community resource searches and manage member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, UM, pharmacy, and spending inquiries.
• Provide proactive care guidance, including closing care gaps, benefits education, preparing members for procedures, and referring to third-party care management or clinical advocates when necessary.
• Understand and communicate benefit design packages, explain plan benefits, handle benefit and enrollment issues, and drive member engagement into programs and offerings.

Specific Skills/Attributes

• Excellent multi-channel communication and problem-solving skills.
• Effective verbal and written communication, critical thinking, typing, grammar, and spelling skills.

Qualifications

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