Family Health Advocate - Remote

Lensa; Salt Lake City (UT); Remote; USD 35,000 - 45,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to provide support to members and their families through personalized resource facilitation and healthcare navigation. This remote role involves answering inquiries, resolving issues, and guiding members towards achieving their health goals. Ideal candidates will have strong communication skills and experience in healthcare customer service. Join a team committed to making high-quality care more accessible and affordable for everyone.

Qualifications

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

Responsibilities

• Answer inquiries from members regarding eligibility, benefits, and claims issues.
• Provide proactive care guidance and coordinate issue resolution.
• Engage with members to ensure appropriate education on healthcare-related inquiries.

Skills

Communication

Problem Solving

Education

High school / GED diploma

2-year associate 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

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 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, appeals, utilization management, pharmacy, and spending account inquiries
• Provide proactive care guidance, including closing care gaps, benefits education, and preparing members for procedures
• Refer members to third parties for care management and second opinions, or to Clinical Advocates (Nurse) for clinical conditions requiring care and case management
• Understand and communicate benefit design packages as defined by the employer
• Engage with members verbally and in writing to ensure appropriate engagement and education on healthcare-related inquiries

Specific Skills/Attributes

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

Qualifications

• High school / GED diploma
• 2-year associate degree in healthcare/health sciences or equivalent experience, or held related roles such as Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in healthcare customer service, especially resolving high-level or sensitive issues

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will be considered regardless of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, or veteran status.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industries: IT Services and IT Consulting