Health Program Rep I (contract)

Elevance Health; California (MO); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Elevance Health seeks an engaging care management outreach agent to contact identified members and share program features. You will handle enrollment calls, collect member data, and guide inquiries to the appropriate clinical staff.

The role requires clear communication, active listening, and a focus on helping members engage with health programs. Hybrid work arrangement and location flexibility apply.

Qualifications

• Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service.
• Computer/keyboard proficiency strongly preferred.
• Knowledge of Elevance Health products, services and benefits preferred.

Responsibilities

• Serve as initial contact between Care Management programs and identified members.
• Handle inbound/outbound enrollment and engagement calls to explain program features.
• Gather and record member information accurately per policies via telephone.
• Encourage member participation by communicating program benefits.
• Direct member inquiries to appropriate clinical staff and initiate referrals.

Skills

Telesales

Customer service

Active listening

Verbal communication

Written communication

Complex communication

Education

High School Diploma or equivalent

Tools

Computer proficiency

Job description

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Primary duties may include, but are not limited to:

• Responsible for providing initial contact between distinct Care Management programs and specific identified members.
• Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.
• Gathers and records appropriate member information in accordance with policies and procedures via telephone.
• Encourages members to participate in the Care Management programs by providing information about the program.
• Directs member inquiries to appropriate clinical staff.
• Initiates referrals and manages consults from clinicians for participants registered in Care Management.
• Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.

Preferred:

• Communication and Interpersonal Skills
• Contacts physician offices to obtain demographic information or related data as needed
• Active listening: Listen carefully to members and coworkers
• Verbal and written communication: Clearly convey information to members and other health professionals
• Complex communication: Communicate complex information clearly and accurately

Requirements

Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background. Computer/keyboarding proficiency strongly preferred. Knowledge of company products, services and benefits preferred.

Job Type

Contract

Computer/keyboarding proficiency strongly preferred.

Knowledge of company products, services, and benefits preferred.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must be within a reasonable commute to a PulsePoint location.

About BCForward

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCForward is an equal opportunity employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Benefits Information

BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).