Family Health Advocate - Remote

Lensa; Tallahassee (FL); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading digital health company is seeking a Family Health Advocate to provide support to members and their families. This remote role involves assisting with healthcare navigation, issue resolution, and resource facilitation to help members achieve their health goals. Candidates should possess strong communication skills and a background in healthcare customer service.

Qualifications

• High school diploma or GED required.
• 2-year healthcare degree or relevant experience preferred.
• Experience in healthcare customer service is essential.

Responsibilities

• Answer inquiries regarding eligibility, benefits, and claims issues.
• Support provider search and assist with spending accounts.
• Provide proactive care guidance and handle benefit issues.

Skills

Communication

Problem-solving

Critical thinking

Education

High school / GED diploma

2-year healthcare/health sciences degree or equivalent experience

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 card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plans.
• Support provider search (PCP, specialty, and facility), focusing on healthcare cost and quality, and present premier provider options.
• Assist with spending accounts, pharmacy, and disability inquiries.
• Support incentives and rewards, assist with ordering DME, community resource search, and member preferences management.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, UM intake, complex pharmacy and spending account inquiries.
• Provide proactive care guidance, including closing care gaps, benefits education, preparing members for procedures, and referring members to care management, clinical advocates, or third-party services.
• Understand and communicate benefit 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, with strong critical thinking, typing, grammar, and spelling skills.

Qualifications

• High school / GED diploma.
• 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 resolution of 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