BusinessOperations - Care Management Support Coordinator II - J01003

Employer Industry: Healthcare Services

• Opportunity for career advancement and growth within the organization
• Competitive work environment with a focus on collaboration and support
• Chance to make a positive impact on member care and service
• Fast‑paced position that enhances communication and problem‑solving skills
• Engaging role assisting providers and members in navigating healthcare processes

• Provide outreach to members via phone to support care plan next steps and address questions or concerns
• Serve as the front‑line support for various member and provider inquiries, explaining care plan procedures and protocols
• Document and maintain non‑clinical member records in compliance with state and regulatory requirements
• Assist with member onboarding and administrative duties, including sending welcome letters and program materials
• Connect members to health plan and community resources to ensure high‑quality customer service

• High School diploma or GED
• 1 – 2 years of related experience, preferably in a call center or customer service environment
• Experience with medical insurance and problem‑solving skills
• Strong communication skills and ability to work in a fast‑paced environment
• Must have a quiet place to take live calls and reliable internet quality/speed

• Experience with Trucare and phone systems
• Previous roles involving customer service in the healthcare industry
• Demonstrated ability to navigate multiple systems efficiently
• Experience handling high call volumes while maintaining service levels

We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position.

Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.