Family Health Advocate - Remote

Lensa; Phoenix (AZ); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to support members and families through healthcare navigation. This remote role involves answering inquiries, providing care guidance, and managing member preferences. Ideal candidates will have strong communication skills and healthcare experience.

Qualifications

• Experience in healthcare customer service and resolving high-level or sensitive issues.

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Provide proactive care guidance and manage member preferences.
• Coordinate issue resolution with providers and payers.

Skills

Communication

Problem Solving

Education

High school diploma or GED

2-year associates 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 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 support members in achieving their health goals, reducing costs, and optimizing 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.
• Provider search (PCP, specialty, and facility), focusing on healthcare cost and quality, and present premier provider options.
• Support for spending accounts, pharmacy, and disability.
• Assist with incentives and rewards.
• Aid with ordering durable medical equipment (DME).
• Community resource search.
• Manage member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, utilization management, 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 member engagement.

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 associates degree in healthcare/health sciences or equivalent experience, or previous roles such as Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in healthcare customer service 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, or protected veteran status.