Remote Care Navigator for Medicaid Support

Spectraforce Technologies, Inc.; Raleigh (NC); Remote; USD 28,000 - 39,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a Care Navigator for a remote health plan call center role supporting STAR+PLUS members. You'll join the MSC Department, handle inbound calls, educate enrollees on benefits, coordinate transportation, and assist with ID cards and PCP changes.

Candidates should have HS Diploma, strong customer service, and prior call center or Medicaid experience. Remote work, standard CST-like hours, potential OT, and multi-shift coverage are offered.

Qualifications

• Must have strong customer service and call center experience.
• Experience with Medicaid programs and managed care is a plus.
• Background in coordinating services for vulnerable populations is beneficial.

Responsibilities

• Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Skills

Customer service, call center

Computer knowledge

Insurance, MCO background

Education

HS Diploma

Tools

Microsoft Office Suite

Avaya

Zoom

Skype

Job description

Spectraforce Technologies, Inc. is seeking a Care Navigator for a remote health plan call center role supporting STAR+PLUS members. You'll join the MSC Department, handle inbound calls, educate enrollees on benefits, coordinate transportation, and assist with ID cards and PCP changes.

Candidates should have HS Diploma, strong customer service, and prior call center or Medicaid experience. Remote work, standard CST-like hours, potential OT, and multi-shift coverage are offered.