Family Health Advocate - Remote

Lensa; Washington (District of Columbia); Remote; USD 40,000 - 70,000; Full time

Job summary

An innovative digital health company is looking for a Family Health Advocate to provide essential support to members and their families. This remote role involves facilitating personalized resources and referrals, resolving issues, and navigating healthcare systems. The ideal candidate will possess excellent communication skills and a background in healthcare customer service. Join a forward-thinking organization dedicated to improving health outcomes and making quality care more accessible. If you're passionate about helping others and want to make a meaningful impact, this opportunity is perfect for you.

Qualifications

• High school diploma or GED is required.
• 2-year associate degree in healthcare or equivalent experience preferred.

Responsibilities

• Answer inquiries regarding eligibility, benefits, and claims issues.
• Support provider search and assist with pharmacy-related inquiries.
• Provide proactive care guidance and educate members on benefits.

Skills

Multi-channel communication

Problem-solving

Healthcare customer service

Typing skills

Grammar and spelling

Education

High school diploma or GED

2-year associate degree in healthcare/health sciences

Job description

2 days ago Be among the first 25 applicants

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

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 eligibility, benefits, open enrollment, claims issues, ID cards, grievances/appeals, utilization management, 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-related inquiries.
• Support members with incentives and rewards, ordering DME, community resource search, and managing member preferences.
• Coordinate issue resolution with providers, payers, or third parties for claims adjustments, grievances, appeals, and complex inquiries.
• Provide proactive care guidance, including closing care gaps, benefits education, preparing members for procedures, and referring to clinical advocates or third-party care management.
• Understand and communicate benefit design packages, engage with members, and educate on healthcare-related inquiries.

Specific Skills/Attributes

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

Qualifications

• High school diploma or GED.
• 2-year associate degree in healthcare/health sciences or equivalent experience, or previous roles 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 regardless of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, or veteran status.

Additional Information

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