Family Health Advocate - Remote

Lensa; Columbus (OH); Remote; USD 35,000 - 55,000; Full time

Job summary

An innovative digital health company is seeking a Family Health Advocate to provide meaningful support to members and their families. In this exciting remote role, you will utilize motivational interviewing to help members achieve their health goals and navigate healthcare systems. You will play a critical role in answering inquiries, coordinating care, and educating members on benefits. Join a forward-thinking organization committed to making high-quality care accessible and affordable for everyone. If you are passionate about healthcare and customer service, this opportunity is perfect for you!

Qualifications

• High school diploma or GED required.
• 2-year associate degree in healthcare or equivalent experience preferred.

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Assist with provider searches and coordinate issue resolution.

Skills

Multi-channel communication

Problem-solving

Customer service

Healthcare navigation

Education

High school diploma or GED

2-year associate degree in healthcare/health sciences

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 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, benefits, open enrollment, claims issues, ID cards, 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, and disability inquiries.
• Help with incentives and rewards.
• Order durable medical equipment (DME).
• Search community resources.
• Manage member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, UM intake, pharmacy, and spending accounts.
• Provide proactive care guidance, including closing care gaps, benefits education, preparing members for procedures, and referrals to care management or clinical advocates.
• Understand and communicate benefit design packages, explain plan benefits, and handle benefit/enrollment issues.
• Drive member engagement and educate on healthcare inquiries.

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 diploma or GED.
• 2-year associate 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 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 veteran status.