Health Program Representative II

Elevance Health - Roanoke, VA

Full-time - Entry Level

Remote - Roanoke, VA

11-50 employees

Insurance Carriers and Related Activities

About the position

The Health Program Representative II is responsible for serving as the initial contact between Care Management programs and identified members. This role involves handling inbound and outbound enrollment and engagement calls, providing information about program features, and encouraging member participation in Care Management programs.

Responsibilities

• Gathers and records appropriate member information via telephone in accordance with policies and procedures.
• Encourages members to participate in Care Management programs by providing information about the program, outlining program features/value, and explaining available services.
• Records call details and utilizes call scripts as needed based on client requirements.
• Directs member inquiries to appropriate clinical staff.
• Initiates referrals and manages consults from clinicians for participants registered in Care Management.
• Gathers information from hospitals, health plans, physicians, patients, vendors, and other referral sources.
• Contacts physician offices to obtain demographic information or related data as needed.
• Mentors less experienced Health Program Advocates.

Requirements

• Requires a HS diploma or the equivalent and a minimum of 6 months experience; or any combination of education and experience which would provide an equivalent background.

Nice-to-haves

• Call center experience strongly preferred
• Comfortable with change and ability to pivot projects strongly preferred

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical benefits
• Dental benefits
• Vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources