Health Benefit Facilitator

Sidecar Health; Columbus (OH); Remote; USD 55,000 - 75,000; Full time

Job summary

A healthcare technology company is seeking a Health Benefit Facilitator to assist members in effectively using their benefits. You will provide education, conduct assessments, and maintain documentation while ensuring compliance with regulations. The ideal candidate has over 3 years of experience in health benefits education, a Bachelor's degree, and strong documentation skills. Competitive salary and comprehensive benefits offered.

Benefits

Competitive salary

Bonus opportunity

Comprehensive Medical, Dental, and Vision benefits

401k retirement plan

Paid vacation and company holidays

Qualifications

• 3+ years of experience in health benefits education or similar roles.
• Familiarity with HIPAA regulations and procuring authorizations.
• Experience in generating and analyzing reports.

Responsibilities

• Guide members in utilizing Sidecar Health benefits.
• Conduct assessments of individual members.
• Facilitate team meetings and quality improvement initiatives.

Skills

Health benefits education

Client relationship management

HIPAA regulation knowledge

Leadership skills

Documentation skills

Education

Bachelor's degree

Job description

Job Description

Health Benefit Facilitator at Sidecar Health, remote in Columbus, OH, United States. Education requirement: Bachelor Degree. This position is in the Human Resources field.

Job Responsibilities

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this mission, we need driven people who will make things happen. The team includes tech leaders, policy makers, healthcare professionals, and others who share the goal of fixing a broken system and making it more personalized, affordable, and transparent. If you want to use your talents to transform healthcare in the United States, come join us!

Ohio residents only

About the Role

As a Health Benefit Facilitator, you will be essential in guiding our members to effectively utilize their Sidecar Health benefits, ensuring they understand and navigate their policies, especially during complex health situations. You will conduct assessments, liaise between healthcare providers and the Sidecar Health team, and ensure adherence to HIPAA and other relevant protocols. In addition, you will facilitate team meetings, maintain comprehensive documentation, and actively participate in quality improvement initiatives for the Benefit Navigation team.

What You'll Do

• Provide members with education on effectively utilizing their Sidecar Health benefits in accordance with their specific policy.
• Help members navigate their benefits when confronted with complicated health situations, aligning with the care and treatment recommended by their healthcare provider.
• Conduct assessments of individual members, gathering pertinent information related to their conditions and concerns, and procure HIPAA authorizations when necessary.
• Offer outreach on behalf of the member when needed, to ascertain the subsequent actions in the treatment plan, and good faith estimate with healthcare providers and external entities.
• Establish and maintain a collaborative relationship with the team to review medical documents and/or claims and engage in discussions regarding the subsequent steps and supportive interventions based on the Sidecar Health policy.
• Develop strategies, maintain comprehensive documentation of member interactions, and generate reports for tracking progress and facilitating future reviews.
• Facilitate team meetings and actively engage in ad hoc meetings when required.
• Sustain an interactive relationship with the members and/or their HIPAA authorized representative (POA), providing ongoing support for their healthcare needs.
• Participate in quality assessment and process improvement initiatives.

What You'll Bring

• 3+ years of experience in health benefits education or similar roles, including working with patients and family members to overcome barriers to cancer care.
• Familiarity with HIPAA regulations and the process for procuring authorizations.
• Experience assisting clients or members in navigating complex health or insurance situations.
• Ability to build and maintain strong client relationships, especially in sensitive or difficult scenarios.
• Proven leadership or facilitation skills, especially in conducting team meetings.
• Experience in outreach or liaison roles, coordinating between clients and external entities like healthcare providers.
• Strong documentation skills, with experience in maintaining records of client or member interactions.
• Experience in generating and analyzing reports to track progress and aid future reviews.
• Bachelor's degree.
• Background in case management, social work, process improvement, or similar experience within the healthcare space (Preferred).
• LCSW License (Preferred).

What You'll Get

• Competitive salary, bonus opportunity, and equity package.
• Comprehensive Medical, Dental, and Vision benefits.
• A 401k retirement plan.
• Paid vacation and company holidays.
• Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.