Family Health Advocate - Remote

Lensa; Trenton (NJ); Remote; USD 40,000 - 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. Ideal candidates will have strong communication skills and experience in customer service within healthcare settings.

Qualifications

• Experience in customer service within healthcare settings.
• Ability to resolve high-level/sensitive issues.

Responsibilities

• Answer inquiries from members regarding eligibility and benefits.
• Assist with provider search and support spending accounts.
• Provide proactive care guidance and drive member engagement.

Skills

Communication

Problem Solving

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 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) status, including medical, dental, and vision plans.
• Assist with provider search (PCP, specialty, and facility), focusing on healthcare cost and quality, and present premier provider options.
• Support spending accounts, pharmacy, and disability inquiries.
• Assist with incentives and rewards, ordering durable medical equipment (DME), community resource searches, and member preferences management.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, utilization management, 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 or clinical advocates.
• Understand and communicate benefit design packages, handle benefit and enrollment issues, and drive member engagement in programs and offerings.

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, such as roles like Health Guide, Medical Assistant, Pharmacy Technician, etc.
• Experience in customer service within healthcare settings and resolving high-level/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.

Additional Details

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

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