Family Health Advocate - Remote

Lensa; Sacramento (CA); Remote; USD 40,000 - 70,000; Full time

Job summary

An innovative digital health company is seeking a Family Health Advocate to provide essential support to members and their families. This exciting remote role involves personalized resource facilitation, issue resolution, and healthcare navigation. The ideal candidate will excel in multi-channel communication and problem-solving, helping members achieve their health goals while reducing costs. Join a forward-thinking organization dedicated to making high-quality care accessible and affordable for everyone. If you're passionate about healthcare and want to make a difference, this is the perfect opportunity for you.

Qualifications

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

Responsibilities

• Answer inquiries regarding eligibility, benefits, and claims issues.
• Support provider search focusing on healthcare cost and quality.
• Provide proactive care guidance and manage member preferences.

Skills

Multi-channel communication

Problem-solving

Typing skills

Grammar and spelling

Education

High school diploma or GED

2-year healthcare/health sciences degree

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 newly 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 card issues, grievances/appeals, utilization management (UM), 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, disability, incentives, rewards, and ordering DME.
• Conduct community resource searches and manage member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, UM, pharmacy, and spending inquiries.
• Provide proactive care guidance, including closing care gaps, benefits education, and preparing members for procedures.
• Refer members to third-party care management, clinical advocates, or other resources as needed.
• Understand and communicate benefit design packages, handle benefit and enrollment issues, and promote engagement in programs.

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 healthcare/health sciences degree or equivalent experience, or relevant positions such as Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in healthcare customer service and resolving high-level 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 veteran status.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting