Family Health Advocate - Remote

Lensa; Lansing (MI); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a Family Health Advocate to support members and their families in navigating healthcare resources. This innovative remote role focuses on personalized assistance, helping individuals achieve their health goals while optimizing care quality and reducing costs. The ideal candidate will possess excellent communication skills and a background in healthcare or customer service. Join a forward-thinking company that values your contributions and offers a collaborative environment where you can make a real difference in people's lives.

Qualifications

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

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Assist with provider searches and manage member preferences.
• Provide proactive care guidance and handle enrollment issues.

Skills

Multi-channel communication

Problem-solving

Customer service

Education

High school / GED diploma

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

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 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 provider options.
• Assist with spending accounts, pharmacy, and disability inquiries.
• Help with incentives and rewards, order DME, and search for community resources.
• Manage member preferences and coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, UM status, and complex 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, handle benefit and enrollment issues, and drive engagement in programs and offerings.

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 / GED diploma.
• 2-year associate's degree in healthcare/health sciences 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, genetic information, 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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