Family Health Advocate - Remote

Lensa; East Montpelier (VT); Remote; USD 40,000 - 50,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to support members and families through personalized resource facilitation and healthcare navigation. This entry-level, full-time remote position involves engaging with members to help them achieve their health goals and optimize care quality. The ideal candidate will have strong communication skills and a background in healthcare or customer service.

Qualifications

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

Responsibilities

• Answer inquiries regarding eligibility and benefits.
• Assist with claims issues and provider searches.
• Provide proactive care guidance and education.

Skills

Communication

Problem Solving

Critical Thinking

Education

High school / GED diploma

2-year associate's degree in healthcare/health sciences

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 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) 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), focusing on healthcare cost and quality, and presenting 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 and appeals submissions, utilization management intake or status, complex pharmacy inquiries, and complex spending account inquiries.
• Provide proactive care guidance for various value-add opportunities, such as closing care gaps, proactive benefits education, preparing members for scheduled procedures, and referring members to care management, second opinions, or clinical advocates.
• Understand and communicate benefit design packages as defined by the employer.
• Engage with members verbally and in writing to ensure appropriate engagement and educate on healthcare-related inquiries.

Specific Skills/Attributes

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

Qualifications

• High school / GED diploma.
• 2-year associate's degree in healthcare/health sciences or equivalent healthcare experience, preferably in benefits and claims navigation, or experience in roles such as health guide, advocate, navigator, medical assistant, pharmacy technician, etc.
• Experience in customer service within 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 without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status, or other protected status under law.

Additional Details

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

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