Family Health Advocate - Remote

Lensa; Oklahoma City (OK); Remote; USD 60,000 - 80,000; Full time

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:

• Help with 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), focused on healthcare cost and quality, and present 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

• Complex spending account inquiries

• Provide proactive care guidance for various value-add opportunities, including:

• Guidance on closing care gaps (e.g., No PCP, discussing switching from low-quality PCPs to high-quality PCPs, reminders for health risk assessments, exams/tests due)

• Proactive benefits education for procedures

• Preparing members for scheduled procedures/admissions

• Referring members to available third parties for care management and second opinions

• Referring members to Clinical Advocates (Nurse) for conditions requiring clinical care and case management

• Understanding and communicating benefit design packages as defined by employer

• Interacting with members verbally and in writing to ensure engagement

• Explaining plan benefit design, handling benefit and enrollment issues

• Driving member engagement into programs and offerings

• Educating on healthcare-related inquiries

Specific Skills/Attributes

• Excellent multi-channel communication and problem-solving skills

• Effective communication in voice and chat, including critical thinking, typing, grammar, and spelling skills

Qualifications

• High school / GED diploma

• 2-year associate degree in healthcare/health sciences or equivalent healthcare experience, preferably in benefits and claims navigation, or held relevant positions such as Health Guide, Medical Assistant, Pharmacy Technician, etc.

• Experience in customer service within healthcare settings and resolving high-level or 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.