Government Programs Care Manager Support Specialist I - Work From Home

hcsc; National (WA); Remote; USD 24,000 - 39,000; Full time

Job summary

Health Care Service Corporation is hiring for an Administrative Care Management Support role. You will help with member outreach, scheduling, and responding to inquiries, while supporting educational and quality campaigns and data entry tasks.

The position may be performed remotely from anywhere in the continental United States (excluding CA, NY, AK, HI). Strong customer service and communication skills are essential.

Qualifications

• High school diploma or GED required.
• Some college and experience with communication systems (Fax/Email/Phone).
• Experience with managed care or healthcare systems preferred.
• Experience coordinating member needs and assisting members.
• Basic medical terminology knowledge.
• Familiarity with clinical systems (claims, enrollment, documentation).
• Proficiency in Microsoft Office and strong customer service skills.
• Strong verbal and written communication with internal/external stakeholders.

Responsibilities

• Support administrative care management duties and member outreach.
• Assist in scheduling care manager and member appointments.
• Respond to member inquiries and perform data entry/research.
• Support educational and quality campaigns and non-clinical member needs.
• Coordinate with providers and track member-related activities.

Skills

Customer service

Verbal communication

Written communication

PC proficiency

Medical terminology

Clinical systems knowledge

Member outreach

Education

High school diploma or GED

College coursework in medical field

Tools

Microsoft Office

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position supports administrative care management duties including member and provider outreach, supporting healthcare initiatives and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, data entry and research, supporting member non-clinical needs. This position may be responsible to manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries.

JOB REQUIREMENTS

• High school diploma or GED
• 1 year of college and 2 years experience with communication systems including Fax, Email and Telephone
• 1 year experience with managed care system(s) or healthcare systems (i.e.; hospital ,doctor office, community based organization).
• Experience coordinating member needs, providing assistance to members, and analyzing member needs.
• Basic knowledge of medical or healthcare terminology.
• Knowledge of clinical systems (claims, enrollment, documentation).
• PC proficiency including Microsoft Office applications.
• Customer service skills.
• Verbal and written communications skills including developing written correspondence to internal and external stakeholders.

PREFERRED JOB REQUIREMENTS

• College courses in medical field, human services, social work, psychology or related healthcare field
• Medicaid knowledge

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$17.75 - $28.39

Exact compensation may vary based on skills, experience, and location.