Remote Member Outreach Specialist

Description

• Make outreach to members to help them with barriers to care and provide positive experience with our organization.
• Responsible for direct outreach and education to members with gaps in care for the purpose of increasing Medicare Star ratings and Medicaid Quality Incentive scores
• Educate members on the importance of routine preventive care as well as maintaining regular appointments for chronic conditions for themselves and/or their children.
• Increase HEDIS/QARR rates through increased member education and clinical care gap closure.
• Make outreach calls to support the Health Outcomes Survey to discuss fall prevention, physical/mental health, and help members address any barriers to care.
  
  
  

Required Experience

• 1-3 years of medical outreach, health education or medical/managed care. Outbound healthcare experience also accepted.
• 1-3+ years' experience working with members in Medical or Managed Care Environment preferred.
• Knowledgeable about outpatient medical, managed care organization structure, and available community resources.
• Experience communicating directly with members, assessing member needs, providing general preventive health education, and connecting members with available resources.
• Proficiency with MS applications (word processing, database/spreadsheet, presentation/reporting)
• Bilingual (English & Spanish) preferred.
  
  
  

Key Accountabilities

• Outreach to members for health education, review members’ individual needs related to gaps in care, use community resources to facilitate medical care.
• Refer members to case management as needed and assist members with making appointments. Identify and escalate member concerns as needed.
• Collaborate with key functional areas such as care management, customer service, pharmacy to help members with barriers.
  
  
  

Details

• 100% remote | Equipment provided.
• Schedule: Monday – Friday | No weekends
• Hours will be an 8-hour shift within the hours of operation. 9:00am – 9:00pm (EST) Shift will be based on time zone you live within.
• Pay: $18 - $20/hr. based on related experience.
• Pay cycle – weekly | Medical, Dental & Vision Benefits offered.
  
  
  

Benefits: Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
  
  
  

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.