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Government Programs Care Manager Support Specialist I – Work From Home

Role overview

Summary

This role supports administrative care management at HCSC, focusing on member outreach and non-clinical needs. You will assist in scheduling appointments and responding to inquiries, contributing to healthcare initiatives and quality campaigns.

Qualifications

  • High school diploma or GED.
  • 1 year of college and 2 years’ experience with communication systems including Fax, Email and Telephone.
  • 1 year experience with managed care system(s) or healthcare systems.
  • Basic knowledge of medical or healthcare terminology.
  • PC proficiency including Microsoft Office applications.

Responsibilities

  • Support administrative care management duties including member and provider outreach.
  • Assist in scheduling care manager and member appointments.
  • Respond to member inquiries and perform data entry and research.
  • Manage low-risk members for health-related social needs and basic outreach screenings.

Key facts

Hard skills

Other skills

  • Customer Service
  • Non-Verbal Communication

About the company

Health Care Service Corporation logo

Health Care Service Corporation

  • Health Insurance & Payers
  • XLarge
  • 10,001+
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

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Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position supports administrative care management duties including member and provider outreach, supporting healthcare initiatives and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, data entry and research, supporting member non-clinical needs. This position may be responsible to manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries.

JOB REQUIREMENTS:

  • High school diploma or GED
  • 1 year of college and 2 years’ experience with communication systems including Fax, Email and Telephone
  • 1 year experience with managed care system(s) or healthcare systems (i.e. Hospital ,doctor office, community-based organization).
  • Experience coordinating member needs, providing assistance to members, and analyzing member needs.
  • Basic knowledge of medical or healthcare terminology.
  • Knowledge of clinical systems (claims, enrollment, documentation).
  • PC proficiency including Microsoft Office applications.
  • Customer service skills.
  • Verbal and written communications skills including developing written correspondence to internal and external stakeholders.


PREFERRED JOB REQUIREMENTS:

  • College courses in medical field, human services, social work, psychology or related healthcare field
  • Work Hours are 8 AM to 5 PM (Time Zone aligned with applicants’ location)

#LI-FW1


#LI-Remote
This is a Remote/Work-From-Home role.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$17.75 - $28.39

Exact compensation may vary based on skills, experience, and location.

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