Outreach Specialist (US)

Elevance Health; North Carolina; Hybrid; USD 42,000 - 56,000; Full time

Job summary

Elevance Health in North Carolina seeks an Outreach Specialist to be the primary field contact for members and prospects. The role supports benefits questions, community program promotion, and member access to care through home visits and reporting processes.

The position emphasizes empathetic customer service, strong communication, and the ability to handle multiple tasks, including calls, texts, and queues, with flexibility for hybrid in-person sessions.

Qualifications

• Requires a HS diploma or equivalent with at least 1 year related experience.
• Must be a North Carolina resident.
• Ability to work virtually with in-person training sessions and occasional office presence.

Responsibilities

• Serve as the initial and main point of field contact between Elevance Health and current and potential members.
• Provide timely resolution of inquiries regarding benefits, services and policies.
• Promote State Sponsored Programs at community events and in collaborations.
• Support member access to care via home visits and processing of reports.
• Conduct new member orientations and ensure timely follow-up.
• Deliver professional and courteous service, mindful of diverse cultural and linguistic needs.

Skills

Customer service

Communication skills

Multitasking

Problem-solving

Digital tools

Education

High School diploma or equivalent

Job description

Outreach Specialist

Location: North Carolina-Virtual: This role enables associates to workvirtually full-time, except for 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 candidatesresidewithin 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, unlessaccommodationis granted as required by law.

How you will make an impact:

• Responsible for serving as the initial and main point of Field contact between the Company and current and potential members. Primary duties may include, but are not limited to:
• 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.

Additional expectations to include but not limited to:

• 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:

• Requires a H.S. diploma or equivalent and a minimum of 1 year of related experience; or any combination of education and experience which would provide an equivalent background.
• Must be a North Carolina resident.

Preferred Skills, Capabilities and Experiences:

• Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
• For Medicaid business units, a Community Health Worker Certification must be obtained in the first 6 months of employment.

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.

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. Applicants who require accommodation to participate in the job application process should submit the 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.