Outreach specialist-1

Elevance Health; Nashville (TN); On-site; USD 42,000 - 65,000; Full time

Job summary

Elevance Health is seeking an Outreach Specialist I to serve as the primary field contact between the company and current and potential members. This field-based role involves traveling to client sites or designated locations, with occasional office attendance and a hybrid policy as needed.

The role emphasizes response to inquiries, resolution of benefit-related questions, and support for state-sponsored programs through community engagement and home visits, while performing member orientations

Qualifications

• HS diploma or equivalent.
• Minimum of 2 years experience in customer service, preferably in a managed care environment, medical office, or health insurance.
• Strong verbal and written communication skills, both with virtual and in-person interactions.
• Ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while taking notes and speaking to customers.

Responsibilities

• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to benefits, policies and procedures.
• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
• Supports and promotes State Sponsored Programs through participation in community events.
• Represents State Sponsored Programs in community collaborations.
• Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
• Performs new member orientations.
• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow‑up.
• Provides superior, professional, and courteous service to customers.
• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population.
• Knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations.
• 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.

Skills

Customer service

Verbal communication

Written communication

Multitasking

Digital tools

Education

HS diploma or equivalent

Tools

CRM software

Office suite

Job description

Outreach Specialist I

Shift: Monday-Friday

Location: Field:

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement. 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.

The Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and current and potential members.

How you will make an impact:

• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
• Supports and promotes State Sponsored Programs through participation in community events.
• Represents State Sponsored Programs in community collaborations.
• Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
• Performs new member orientations.
• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow‑up.
• Provides superior, professional, and courteous service to customers.
• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population.
• Knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations.
• Ability to work professionally with the company's associates, community-based organizations, providers and plan members.
• 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.

Minimum Requirements

• HS diploma or equivalent.
• Minimum of 2 years experience in customer service, preferably in a managed care environment, medical office, or health insurance; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• 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.

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.

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.

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.

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