Care Engagement Specialist

Position Purpose: Care Engagement is responsible for supporting the organization’s goals of obtaining health needs screenings, scheduling preventive service appointments and educating members on plan benefits and services. Provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• Make outbound or receive inbound calls from members to schedule doctor appointments, assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits.
• Influence members to take advantage of additional benefits available by educating members on enhanced services that are available and recommending preferred providers.
• Educate members on utilization of Emergency Departments in non-emergent conditions and the impact to their benefits.
• Identify and overcome barriers in order for members to complete needed health screenings, obtain needed services or make payments to secure enhanced benefits.
• Review each member profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for members and identify opportunities for members to become eligible for additional benefits.
• Participate in continuous quality improvement initiatives to ensure department and company goals are met and exceeded.
• Review and analyze data for call reports to make adjustments as needed to call approach for members in order to obtain information.
• Act as a secondary resource for the Member Services or Provider Services call centers.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act