Family Health Advocate - Remote

Lensa; Des Moines (IA); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to support members and their families through personalized resource facilitation and healthcare navigation. This entry-level, full-time position offers the opportunity to make a meaningful impact on health outcomes while working remotely. Ideal candidates will possess strong communication skills and a background in healthcare.

Qualifications

• High school diploma required; healthcare experience preferred.
• Customer service experience in healthcare settings is essential.
• Experience in roles like Health Guide, Medical Assistant, or Pharmacy Technician is advantageous.

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Assist with provider searches and coordinate issue resolutions.
• Provide proactive care guidance and educate members on healthcare inquiries.

Skills

Communication

Problem Solving

Critical Thinking

Education

High school / GED diploma

2-year healthcare/health sciences degree or equivalent experience

Job description

2 days 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

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) for 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).
• Search community resources and manage member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, utilization management, 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.
• Understand and communicate benefit design packages, engage members, and educate on healthcare inquiries.

Specific Skills/Attributes

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

Qualifications

• High school / GED diploma.
• 2-year healthcare/health sciences degree or equivalent experience in healthcare, especially in benefits and claims navigation.
• Experience in roles such as Health Guide/Advocate/Navigator, Medical Assistant, Pharmacy Technician, etc.
• Customer service experience in healthcare settings and resolution of 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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