Family Health Advocate - Remote

Lensa; City of Albany (NY); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to provide personalized support to members and their families. This remote role involves facilitating healthcare navigation, resolving issues, and guiding members to achieve their health goals. Ideal candidates will have a high school diploma and experience in healthcare customer service.

Qualifications

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

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Support provider search and assist with spending accounts.
• Coordinate issue resolution with providers and payers.

Skills

Multi-channel communication

Problem-solving

Typing

Grammar

Spelling

Education

High school diploma or GED

2-year healthcare/health sciences degree or equivalent experience

Job description

1 day 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 medical, dental, and vision plans.
• Support provider search (PCP, specialty, and facility), focusing on healthcare cost and quality, and present premier 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, utilization management, pharmacy, and spending accounts.
• Provide proactive care guidance, such as closing care gaps, benefits education, and preparing members for procedures.
• Refer members to care management, clinical advocates, or third-party services as needed.
• 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 strong 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 veteran status.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industries: IT Services and IT Consulting

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