Family Health Advocate - Remote

Lensa; Sacramento (CA); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading digital health company is looking for a Family Health Advocate to support members through personalized resource facilitation and healthcare navigation. The role requires excellent communication skills and experience in healthcare customer service. Join a mission-driven team committed to making quality care accessible for everyone.

Qualifications

• Experience in customer service in healthcare settings.
• Resolution of high-level issues.

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Assist with provider search focusing on healthcare cost and quality.
• Provide proactive care guidance and manage member preferences.

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 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, benefits, open enrollment, claims issues, ID cards, grievances/appeals, utilization management (UM) including medical, dental, and vision plans.
• Assist with provider search (PCP, specialty, facility), focusing on healthcare cost and quality, and present premier provider options.
• Support spending accounts, pharmacy, and disability inquiries.
• Assist with incentives, rewards, and ordering durable medical equipment (DME).
• Search for community resources and 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, and preparing members for scheduled procedures.
• Refer members to third parties for care management and second opinions, and to Clinical Advocates for clinical conditions.
• Understand and communicate benefit design packages, handle benefit and enrollment issues, and drive engagement into programs.

Specific Skills/Attributes

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

Qualifications

• High school diploma or GED.
• 2-year associates degree in healthcare/health sciences or equivalent experience, or experience in roles such as Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in customer service in healthcare settings and resolution of high-level 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 other protected status.