Health Program Representative I

The Elevance Health Companies, Inc.; Columbus (GA); Hybrid; USD 21,000 - 32,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) matching

Employee stock purchase plan

Wellness programs

Job summary

Elevance Health is seeking a Health Program Representative I to support member care via phone and digital channels. This hybrid/virtual role offers flexibility, with required in-person training and occasional office work as needed.

Key duties include gathering member data, guiding Care Management participation, recording call details, directing inquiries to clinical staff, initiating referrals, and coordinating with hospitals and physicians.

Qualifications

• HS diploma or the equivalent.
• Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

Responsibilities

• Gathers and records appropriate member information via telephone.
• Encourages members to participate in Care Management programs and explains services.
• Records call details and uses scripts as needed.
• Directs member inquiries to clinical staff.
• Initiates referrals and manages consults from clinicians.
• Gathers information from hospitals, health plans, physicians, patients, vendors and other referrals.
• Contacts physician offices to obtain data.
• Must multi-task while handling calls, texts, and electronic queues.

Skills

Customer service

Communication

Empathy

Multitasking

Education

HS diploma or equivalent

Tools

Computer keyboarding

Job description

Anticipated End Date: 2026-11-04 Position Title: Health Program Representative I Job Description:

Health Program Representative I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

How you will make an impact

• 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, outlining program features/value and explaining available services.
• Records call details and utilize call scripts as needed based on client requirements.
• 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.
• Contacts physician offices to obtain demographic information or related data as needed.
• Associates in this role are expected to have the ability to multi‑task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
• Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast‑paced, high‑pressure environment.
• Strong verbal and written communication skills, both with virtual and in-person interactions.
• Attentive to details, critical thinker, and a problem‑solver.
• Demonstrates empathy and persistence to resolve caller issues completely.
• Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
• Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
• Performs other duties as assigned.

Minimum Requirements

• HS diploma or the equivalent.
• Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• Computer/keyboarding proficiency strongly preferred.
• Knowledge of company products, services and benefits preferred.
• Call centre experience strongly preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $15.42/hr to $23.14/hr.

Locations: Virginia

Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

We offer a range of market‑competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Job Level: Non‑Management Non‑Exempt Workshift: Job Family: CUS > Care Reps

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates 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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.