Housing specialist work from home jobs

- 433 jobs

Housing Access Coordinator (Remote)
Northwestern University 4.6
Remote job
Department: AccessibleNU Salary/Grade: EXS/6 About AccessibleNU: AccessibleNU (ANU) is responsible for the academic and on-campus housing accommodation determination and coordination process for students with disabilities. Northwestern University recognizes disability as an essential aspect of our campus, and as such, we actively collaborate with faculty, staff, and students to achieve access goals. ANU Mission: AccessibleNU supports and empowers students with disabilities by collaborating with the Northwestern community to ensure full participation in the academic learning environment. About Residential Services: Residential Services is responsible for the service delivery, operations and community building programs associated with the residence halls, and graduate apartments. Northwestern's Evanston campus is home to over 8,000 talented undergraduate students and 16,000 graduate students, more than 4,900 of whom live in Northwestern's graduate apartments, residence halls, and residential colleges. Residential Services focuses on the needs of residents and fosters the conditions for them to experience meaningful engagement, develop a sense of social belonging, help educate about and support well-being, and develop agency in the residential experience. Job Summary: This position is responsible for administering, assessing, and determining housing disability accommodations at Northwestern University. The Housing Access Coordinator position has a dual report to the Associate Director of AccessibleNU and the Director of Operations and Services in Residential Services at the Evanston campus. Primary work in ANU includes accommodation determination and coordination for housing and dining disability accommodation requests. On an as-needed basis and outside of peak periods within Residential Services (i.e. Returning Student Room Selection, new student housing assignments, etc.), this role contributes to the ANU team through classroom accommodation coordination (i.e. accommodation determination and intakes) and assists with front desk and testing services operations. Daily functions for Residential Services include coordination of requests for housing and dining exceptions, communicating with stakeholders, managing student information, and generating data to inform decision-making. Reporting under the Division of Student Affairs, the position serves as a campus expert on student related matters regarding accommodations, equal access, and disability and makes compliance-based decisions on behalf of the University. This role provides ongoing leadership to offer services and programs which advance the educational mission of the University and Division of Student Affairs including developing, recommending, and implementing policies and procedures that recognizes disability as an essential aspect of our campus. This position also ensures compliance with federal, state, and local disability regulations, including the Americans with Disabilities Act and the Fair Housing Act. Pay: The salary range for the Housing Access Coordinator position is $68,500 - $70,000 annually, depending on experience, skills, and internal equity. Principal Accountabilities: Disability-Related Accommodation and Exemption Management 70% * Evaluates requests for disability housing and dining accommodations and provides ongoing accommodation support for students. * Participate in regular Case Review meetings with Accessible NU for high level requests. * Interprets disability documentation provided by students including medical, educational, and/or psychological assessments. Conducts intake interviews with students to gather additional information to determine reasonable accommodations. * Ensures accommodation determinations align with the Americans with Disabilities Act (as amended), Sections 504 and 508 of the Rehabilitation Act, state and local disability regulations, the Fair Housing Act, relevant case law and legal guidance, and University policies and procedures. * Create, maintain, and provide education on housing disability accommodation processes and policies. Serves as main point of contact for housing and dining accommodation requests. * Generates creative and practical solutions to address current and emerging accommodation needs. * Uses office database (AIM) to maintain student files including sending accommodation emails, maintaining confidential documentation, scheduling appointments, recording meetings and case notes, and documenting communications with students, guardians, and university personnel regarding the accommodation process. * Engages with University personnel via the interactive process to assist with implementation of complex accommodations (e.g. residence hall modifications, emotional support and service animals, temporary injuries, housing reassignments, flexibility with attendance and deadlines, etc.) * Provides leadership, prompt support, and facilitates conversations with students, guardians, and University personnel when accommodation questions and issues arise. Non-Disability Accommodation and Exemption Management 15% * Manage process for residency requirement/dining exception requests and collaborate with Residential Services to facilitate decision-making process with campus partners for requests not connected to disability related accommodations (e.g. family situations, financial circumstances, religious observances, etc.). * Uses office database to maintain student files including sending emails, maintaining confidential documentation, scheduling appointments, recording meetings and case notes, and documenting communications with students, guardians, and university personnel regarding the exceptions process. * Liaise between Residential Services and campus partners. * Create, collect, and track data related to number and type of requests. * Create annual report of all accommodation and exception requests. Special Assignments 5% * Participates in developing and implementing strategic planning goals, objectives, and assessments. * On an as-needed basis and outside of peak periods within Residential Services, performs ANU back-up functions such as front desk duties and test proctoring/coordinating. * Assists the ANU Associate Director of Evanston and the Residential Services Director of Operations and Services with overall unit functional areas. University and Community Resource 5% * Provides consultation services, information sessions to students and guardians, in-service trainings, workshops, events, orientations, and programming to University constituents, local and state communities with respect to definitions, perspectives, implications, applications of professional research, state and federal laws, the transition to post-secondary education, etc. * Develop and disseminate educational/informational materials and presentations for faculty, staff, students, and guardians to promote Residential Services and AccessibleNU. * Participates in or leads AccessibleNU, Residential Services, or University based working groups, committees, events, or other division-wide activities. Professional Development 5% * Attends and presents at local conferences, workshops, training sessions, and/or professional organizational meetings. * Stays abreast of current research in the field by reviewing publications, journals, technical information, etc. * Summarizes and synthesizes new information to exchange with colleagues either in a written or an oral manner. * Anticipates future needs and trends of post-secondary disability issues. Minimum Qualifications: * Bachelor's degree in higher education administration, rehabilitation counseling, social work, psychology, disability studies, or related field * Minimum of one (1) year related experience in the post-secondary environment, working directly with students with various disabilities; similar experience with students outside the post-secondary setting and/or a combination of training and experience may be considered * Knowledge of the ADAAA, FHA, Section 504 and 508 of the Rehabilitation Act and its application to accommodation determination * Familiarity with the complexities of medical documentation and its alignment with accommodation determination, including the interpretation of test results such as the WAIS, Woodcock Johnson, and other diagnostics within the DSM-V. * Demonstrated experience working effectively with a variety of populations. Preferred Qualifications: * Master's degree in higher education administration, rehabilitation counseling, social work, psychology, disability studies, or related field * Prior work with undergraduate, graduate, professional, and online students with disabilities * Proficiency with a range of assistive technologies and adaptive equipment and their application * Prior Residential Services experience * Proven conflict mediation skills * Adaptability and sensitivity to changing times Minimum Competencies: * Ability to problem solve, collaborate, and negotiate in various situations * Highly developed facilitation skills to foster a safe space for students to share accommodation needs * Highly developed communication skills to foster collaborative partnerships with faculty * Ability to exercise independent judgement related to the impact of the disability, how it relates to classroom access, and the legal aspects involved * Ability to work both independently and in team settings * Proven skills in creating and building processes, procedures, and workflow Preferred Competencies: * Knowledge of learning styles and Universal Design for Learning Working Conditions: * The Housing Access Coordinator role is a remote position. Employees must have access to reliable internet. Note: If local to the Chicagoland area, this position will be required to come to the Evanston or Chicago campus on occasion for division and office events and meetings, on-boarding and trainings, presentations, and accommodation coordination. Will require limited evening and weekend availability. Benefits: At Northwestern, we are proud to provide meaningful, competitive, high-quality health care plans, retirement benefits, tuition discounts and more! Visit us at *************************************************** to learn more. Work-Life and Wellness: Northwestern offers comprehensive programs and services to help you and your family navigate life's challenges and opportunities, and adopt and maintain healthy lifestyles. We support flexible work arrangements where possible and programs to help you locate and pay for quality, affordable childcare and senior/adult care. Visit us at ************************************************************* to learn more. Professional Growth and Development: Northwestern supports employee career development in all circumstances whether your workspace is on campus or at home. If you're interested in developing your professional potential or continuing your formal education, we offer a variety of tools and resources. Visit us at *************************************************** to learn more. Northwestern University is an Equal Opportunity Employer and does not discriminate on the basis of protected characteristics, including disability and veteran status. View Northwestern's non-discrimination statement. Job applicants who wish to request an accommodation in the application or hiring process should contact the Office of Civil Rights and Title IX Compliance. View additional information on the accommodations process. #LI-GY1
$54k-69k yearly est. 21d ago
Intake Specialist
Vital Connect 4.6
Remote job
Purpose The Intake Financial Clearance Specialist role belongs to the Revenue Cycle team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Intake Financial Clearance Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff. **This is a fully remote role** Responsibilities Monitors accounts routed to registration, referral and prior authorization work queues and clears work queues by obtaining all necessary patient and/or payer-specific financial clearance elements in accordance with established management guidelines. Maintains knowledge of and complies with insurance companies' requirements for obtaining prior authorizations/referrals and completes other activities to facilitate all aspects of financial clearance. Acts as subject matter experts in navigating payer policies to get the appropriate approvals (authorizations, pre-certs, referrals, for example) for the ordered services to proceed. The Intake Financial Clearance Specialist is an important part of the larger patient care team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services. Supports staff at all levels for hands-on help understanding and navigating financial clearance issues. Uses appropriate strategies to underscore the most efficient process to obtaining insurance verification, authorizations, and referrals, including online databases, electronic correspondence, faxes, and phone calls. Obtains and clearly documents all referral/prior authorizations for scheduled services Works collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients, and any other parties to ensure that required managed care referrals and prior authorizations are obtained and appropriately recorded in the relevant systems. When it is determined that a valid referral does not exist, utilize computer-based tools, or contact the appropriate party to obtain/generate referral/authorization and related information. Record the referral/authorization in the practice management system. Contact physicians to obtain referral/authorization numbers. Perform follow-up activities indicated by relevant management reports. Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients' scheduled services. Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required referral/prior authorizations. Work collaboratively with the practices to resolve registration, insurance verification, referral, or authorization issue to the extent that these unresolved issues impact the ability to obtain a referral/authorization. Escalates accounts that have been denied or will not be financially cleared as outlined by department policy Accept registration updates from various intake points, including but not limited to those received via paper forms, internet registration forms, telephones located in practices and direct calls from patients. Ensure that all updated demographic and insurance information is accurately recorded in the appropriate registration systems for primary, secondary, and tertiary insurances. Review all registration and insurance information in systems and reconcile with information available from insurance carriers. For any insurance updates, utilize any available resources to validate the updated insurance information, insurance plan eligibility, primary care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at all times maintain sensitivity and a clear customer friendly approach. For self-pay patients or patients with unresolved insurance, and for financial counseling, refer patients Patient Financial Counseling. Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately. Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations. Demonstrates the ability to recognize situations that require escalation to the Supervisor. Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with management expectations as outlined. Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed. Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities. Handle telephone calls in a timely fashion, following applicable scripting and customer service standards. Appropriately manage all calls by either working with the customer or referring the call to the appropriate party. Communicate with all internal and external customers effectively and courteously. Maintain patient confidentiality, including but not limited to, compliance with HIPAA. Perform other related duties as assigned or required. Requirements Qualifications High School Diploma or GED required, Associates degree or higher preferred. 1-3 years patient registration and/or Insurance experience desirable. At least one year of experience must be in a customer service role General knowledge of healthcare terminology and CPT-ICD10 codes. Complete understanding of insurance is required. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. Able to communicate effectively in writing. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Must be able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom. Displays a thorough knowledge of various sections within the work unit to provide assistance and back-up coverage as directed. Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management Salary & Benefits The estimated hiring salary range for this position is $22/hr - $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.
$22-24 hourly 60d+ ago
Appeals Intake Specialist
Reliant 4.0
Remote job
Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As an Appeals Intake Specialist, you will play a critical role in resolving post-payment disputes related to Workers' Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients. Primary Responsibilities Responsible for screening/returning all voicemails and answering questions Offer guidance to providers including sharing details on documents needed to process their appeal/reconsideration request If the situation appears to have issues escalating to the senior appeal specialist for direction Responsible for monitoring/managing the shared appeals inbox Locating the bill in question and assigning to the appropriate team member for handling Creation of appeal case in Salesforce or Claimsave Update the attorney referred cases spreadsheet based on received emails Bimonthly report updates shared with clients on cases referred to attorneys Responsible for updating claim platform with new status received from attorneys Work with senior appeal specialist on updates needed to the process SOP's Insures accurate and thorough documentation in claims platform for every email and voicemail. Demonstrates knowledge about workers' comp and Reliant processes Adheres to our department TAT, either individual claim based or organization wide Understands the support function of the job and assumes responsibility for assignments. Establishes and prioritizes job tasks, desired solutions to problems and develops a realistic plan for their accomplishment. Qualifications 1 -2 years of relevant experience in Workers' Compensation bills or appeals. Strong understanding of Workers' Compensation reimbursement methodologies, state regulations, and provider billing practices. Experienced communicator with providers and clients Ability to collaborate with a variety of individuals both internally and externally. Familiarity with claims processing systems and provider communications. Excellent communication and organizational skills. Requires organizational skills, communication proficiency, discretion, ethical conduct, decision making, technical skills Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$55,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
$50k-55k yearly Auto-Apply 21d ago
Specialist - Outreach-Fixed Term
MSU Careers Details 3.8
Remote job
The National Center for Pavement Preservation (NCPP) at Michigan State University is seeking a Bridge Preservation Specialist to support bridge preservation initiatives at regional and national levels. This role requires a proactive, entrepreneurial mindset to identify and secure research funding, develop training programs, and expand bridge preservation initiatives. The ideal candidate will innovate, build partnerships, and pursue growth opportunities that advance NCPP's mission. Rather than simply executing existing projects, they must think strategically, seize opportunities, and drive new initiatives that benefit bridge preservation efforts nationwide. This is a one-year fixed-term position with the possibility of renewal based on continued funding, positive performance reviews, and mutual agreement. Key Responsibilities The successful candidate will lead, organize, and facilitate regional and national bridge preservation partnership meetings. This includes developing meeting agendas, coordinating with speakers and moderators, and managing logistical arrangements. Additionally, the specialist will facilitate workgroups, meetings, and conferences to support bridge preservation initiatives, ensuring effective collaboration among stakeholders. In addition to outreach efforts, this position will identify and pursue research and funding opportunities in bridge preservation. As a technical expert, they will contribute to research projects and initiatives while maintaining an up-to-date understanding of industry advancements and best practices. This role requires an entrepreneurial mindset to strategically seek growth opportunities that further the mission of NCPP. The specialist will also play a crucial role in training and advocacy, providing expertise to support NCPP's bridge preservation activities. They will represent and promote bridge preservation at both national and local meetings, strengthening industry engagement. Furthermore, they will develop training programs and outreach strategies that address the evolving needs of partners and stakeholders, ensuring the effective dissemination of knowledge and best practices in bridge preservation. Additional duties as assigned. Extensive travel is required. Equal Employment Opportunity Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability or protected veteran status. Required Degree Masters -Civil Engineering or a closely related field Minimum Requirements Master's degree in civil engineering or a closely related field. Minimum of 5 years of practical experience in bridge preservation. Expertise in bridge maintenance operations, construction practices, materials, and bridge design. Strong leadership skills and experience in organizational and strategic planning. Proven ability to identify and secure research funding opportunities. Experience in writing technical proposals and research reports. Effective communication skills (verbal and written), including the ability to collaborate and train using remote technologies. Demonstrated ability to develop and maintain relationships with diverse stakeholders. Desired Qualifications Licensure as a Professional Engineer (PE). Experience working with a transportation agency. Background in program development, operational oversight, and budget management. Experience in developing and delivering professional training courses, workshops, or seminars. Required Application Materials A cover letter detailing your interest and qualifications. A current resume/CV. Contact information for three professional references. Special Instructions Review of applications will begin on May 14, 2025 and continue until the position is filled. For additional information, contact Patte Hahn at hahnp@egr.msu.edu Review of Applications Begins On 05/14/2025 Remote Work Statement MSU strives to provide a flexible work environment and this position has been designated as remote-friendly. Remote-friendly means some or all of the duties can be performed remotely as mutually agreed upon. Website https://www.pavementpreservation.org/ Department Statement Michigan State University is a global leader in engineering research and education. The National Center for Pavement Preservation is dedicated to advancing transportation infrastructure through innovative solutions in pavement and bridge preservation. This role offers the opportunity to make a national impact while working with a collaborative and expert team. MSU Statement Michigan State University has been advancing the common good with uncommon will for more than 160 years. One of the top research universities in the world, MSU pushes the boundaries of discovery and forges enduring partnerships to solve the most pressing global challenges while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
$40k-56k yearly est. 60d+ ago
Insurance Subrogation Case Specialist (Hybrid - Dublin, OH)
Gainwelltechnologies
Remote job
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you'll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases. If you have experience in insurance, healthcare claims, or call center operations-and you're looking for a mostly remote position with career growth potential-this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient. Your role in our mission * Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients. * Review and analyze insurance policies, claims, and case documentation. * Manage active subrogation case files and ensure all data is entered accurately and on time. * Communicate with insurance carriers, employers, and members to obtain and confirm coverage details. * Handle a high volume of inbound and outbound calls related to subrogation or claims. * Prepare and maintain reports on open cases, enrollment updates, and payment processing. * Support company goals for revenue recovery, accuracy, and program compliance. What we're looking for * 3-5 years of experience in insurance, healthcare, or government-sponsored programs. * Experience handling customer service or call center inquiries (both inbound and outbound). * Strong attention to detail and accuracy in data entry. * Proficient with Microsoft Excel, Word, and internet research. * Excellent communication, problem-solving, and organizational skills. * Ability to work independently in a remote/hybrid environment. What you should expect in this role * Hybrid role - primarily remote with in-office presence 2 days per month in Dublin, Ohio. * Monday to Friday schedule (daytime business hours). * Video cameras must be used during all interviews, as well as during the initial week of orientation. * To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance. * To Test your internet download and upload speed: * Go to Google. * Search for Internet Speed Test or click here. #LI-HYBRID #LI-JA1 #LI-CM1 The pay range for this position is $43,800.00 - $62,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
$43.8k-62.5k yearly 48d ago
Claimant Outreach & Intake Specialist
Advocates 4.4
Remote job
OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a dynamic and persistent Outreach & Intake Specialist to be the crucial first point of contact for potential claimants. In this role, you will engage new leads, guide them through the initial information gathering and contract signing process via our Onboarding Flow, and effectively convert interested individuals into Advocate claimants. You'll focus on initiating the claimant journey, ensuring potential claimants feel supported and informed from the very beginning. If you are results-oriented, possess excellent communication skills, and are passionate about helping people navigate complex processes, this role offers the opportunity to make a significant impact without managing ongoing case submissions.Job Responsibilities Act as the first point of contact for potential claimants, managing inbound leads via phone, text, and potentially other channels. Conduct prompt and persistent outreach to new leads (within 5 minutes) using tools like Salesforce and Aircall Power Dialer, following established contact sequences (calls, texts, voicemails). Clearly articulate Advocate's value proposition and answer frequently asked questions to build trust and encourage engagement. Guide potential claimants through Advocate's online Onboarding Flow, assisting them in providing necessary initial information and signing the representation contract. Maintain accurate and timely records of all outreach activities, claimant interactions, and lead statuses within Salesforce. Identify and appropriately handle leads who may not be eligible for services based on initial criteria. Collaborate with the team to meet and exceed lead conversion goals. Monitor Advocate's Intake communication lines for new client calls and texts, responding appropriately. Qualifications Proven experience in a high-volume outreach, sales, or customer engagement role (e.g., call center, intake specialist, sales development). Excellent verbal and written communication skills, with an ability to explain processes clearly and empathetically. Strong interpersonal and persuasion skills with a persistent approach to achieving goals. Experience using CRM software (Salesforce preferred) and communication tools (Dialers like Aircall preferred). Highly organized with strong attention to detail for tracking lead progress and documenting interactions. Ability to work independently and manage time effectively in a remote setting. Passionate about helping others and contributing to a mission-driven company. Familiarity with the Social Security disability process is a plus, but not required. This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
$26k-31k yearly est. Auto-Apply 60d+ ago
Utilization Review Intake Specialist
Virginpulse 4.1
Remote job
Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Connect Members to Care Through Expert Pre-Certification Support? We're seeking a customer-focused professional who can perform critical clerical and administrative duties in the utilization management division while managing high volumes of member interactions with precision and care. As our Utilization Review Intake Specialist, you'll provide accurate information about pre-certification processes while gathering essential demographic and provider data that supports clinical decision-making. This flexible position is ideal for candidates seeking reduced hours while making meaningful impact, with weekend availability required. What makes this role different: ✓ Flexible schedule: Reduced hours with required weekend availability to support healthcare operations and member needs ✓ First impression impact: Serve as initial point of contact for pre-certification inquiries, setting tone for positive member experience ✓ Process expertise: Master pre-certification processes while providing accurate information to internal and external customers ✓ Data integrity: Ensure complete documentation and data accuracy that supports downstream utilization review decision-making What You'll Actually Do Manage customer interactions: Answer and route all incoming phone calls while providing accurate information to internal and external customers regarding pre-certification process. Gather critical information: Collect demographic, non-clinical, and provider data for pre-certification using phone, fax, inter/intranet, and various computer software programs. Review and route requests: Analyze service requests and manage them efficiently, involving appropriate departments as needed for optimal resolution and timely processing. Maintain comprehensive documentation: Perform accurate data entry and maintain complete case information documentation while assisting in document maintenance, revisions, and monthly report compilation. Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while supporting team excellence. Manage high-volume operations: Handle multiple customer service calls while maintaining logs, files, and organized documentation systems in fast-paced environment. Schedule Requirements Candidates will be assigned one of the below shifts. Tuesday - Saturday, 12:30 - 5pm PST Sunday - Thursday, 12:30 - 5pm PST Qualifications What You Bring to Our Mission The foundational experience: Associate degree preferred in business, management, or related field Prior experience in customer service and/or medical background Prior insurance and/or claims background preferred Experience in medical front office, hospital patient intake, medical claims processing, or equivalent combination of education and experience The technical competencies: Proficiency in Microsoft Excel, Word, and Outlook Accurate data entry skills (40wpm minimum) Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable Ability to navigate various computer software programs for data collection and documentation The professional qualities: Strong written and verbal communication skills for diverse customer interactions Ability to manage high volumes of customer service calls while maintaining quality and accuracy Capability to organize, prioritize, and multitask in fast-paced, deadline-driven environment Demonstrate ability to work independently with excellent judgment and decision-making Strong customer orientation with commitment to providing accurate, helpful information Flexibility to work weekends as required to support operational needs Adaptability to changing priorities and ability to involve appropriate departments for complex requests Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success Unlimited PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world? We're ready for you. No candidate will meet every single desired qualification. If your experience looks a little different from what we've identified and you think you can bring value to the role, we'd love to learn more about you! Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $15 to $18 per hour. Note that compensation may vary based on location, skills, and experience. This position is part time and therefore not eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.
$15-18 hourly Auto-Apply 22h ago
Outreach Specialist / Care Coordinator - Cleveland, Ohio
Waymark 3.5
Remote job
Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We're designing tools and systems that bring care directly to those who need it most-removing barriers and reimagining what's possible in Medicaid healthcare delivery. Our Values At Waymark, our values are the foundation of how we work, grow, and support one another: Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology. Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions. Experiment to Improve: We use data to inform decisions and continuously assess our performance. Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results. If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark. About this role As an Outreach Specialist/Care Coordinator in the region, you will be Waymark's frontline presence in and alongside healthcare facilities, often our first point of contact with our patients, and a key member of a startup team helping to shape and refine our workflows and build strong relationships with primary care physician partners. You will work to improve the health of patients from low- income communities by fostering trust and connecting them with various providers and resources. You will be part of a care team that is multidisciplinary and includes Licensed Clinical Social Workers, Pharmacists, and Community Health Workers. Key Responsibilities Initiate outreach to new patients and facilitate connections to healthcare resources and support referrals to care team members telephonically, via SMS, via video, or in-person. Foster trust and improve patient engagement rates through effective, empathetic, and credible patient communication. Collect, review and analyze patient data from Electronic Health Records (EHRs) or other data sources to assist monitoring and prioritization of patient care and to improve utilization of preventative care. Communicate with primary care providers through multiple avenues (potentially including EHR messaging and in-person meetings with providers to review patient updates). Serve as a primary day-to-day contact, and build trusted, collaborative relationships with healthcare facility providers. Participate in weekly Waymark care team huddles and partner with the full care team (Pharmacists, Licensed Clinical Social Workers, and Community Health Workers) to support coordinated patient care. Accurately document each patient encounter in detail. Collaborate with the Waymark support team to test and refine internal workflows and co-design more efficient processes for supporting patient care. This is a hybrid role, involving remote work from home as well as working within healthcare provider facilities, as needed. Minimum Qualifications Excellent verbal and written communication skills. Comfort tailoring communication to credibly and concisely communicate with primary care physicians and to communicate with patients in an empathetic and accessible manner. Highly organized and self-motivated to work independently and manage schedules efficiently. Customer service and/or sales experience. Experience with Electronic Health Records. Experience in a healthcare delivery setting, preferably communicating with medical providers. Passion for working with diverse communities in an empathetic, inclusive, and professional manner. Friendly, energetic, and enthusiastic personality with a client service orientation. Comfort navigating a variety of technology platforms including Google Workspace. Reside in Greater Cleveland, and have regular access to a car to facilitate travel within the region. Preferred Qualifications Experience in care coordination, patient outreach, call center or working in an outpatient clinic or doctor's office. Multilingual capabilities. Knowledge of managed care / health insurance. Knowledge of Cleveland, Akron, Canton communities and Medicaid populations. Hourly Rate Range $22.38 - $25.42 In addition to salary, we offer a comprehensive benefits package. Here's what you can expect: Stock Options: Opportunity to invest in the company's growth. Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office. Incentive Program: Receive additional compensation through performance-based incentives that align with organizational goals and enhance patient outcomes. Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy. Life Insurance: Basic life insurance to give you peace of mind. Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays. Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents. Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule. Commuter Benefits: Convenient options to support your commute needs. Professional Development Stipend: A dedicated stipend supports professional development and growth. COVID Vaccination: Waymark has adopted a policy on mandatory full vaccination to safeguard our employees, our partners, and the patients we serve from the hazard of COVID-19. As a healthcare company, we believe it is important for our employees and actions to reflect the best available science and the interests of public health. You will be asked to attest to your COVID vaccination status before an offer of employment is made. Offer of employment is contingent upon successful completion of a background check. Don't check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging - so if you're excited about this role but your past experience doesn't align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!
$22.4-25.4 hourly Auto-Apply 60d+ ago
Provider Outreach Specialist
RVO Health
Remote job
AT A GLANCE We are looking for a Provider Outreach Specialist to champion tobacco cessation interventions to healthcare providers across South Carolina. As a member of our State Quit Services Training & Outreach team, the Provider Outreach Specialist will literally meet providers where they are and share free evidence-based resources to help their patients quit smoking or vaping - including our industry-leading quit services available, for free, in South Carolina. If you love meeting and helping people, being on the road, and are inspired by the thought of contributing mightily to the reduction of commercial tobacco use in your state, read on! What You'll Do The Provider Outreach Specialist will implement South Carolina Health Systems Optimization Program (HSOP) activities in accordance with a statement of work negotiated between RVO Health and our partners at the South Carolina Department of Public Health. Areas of responsibility and associated tasks (with estimated time allocations) include: Plan training and outreach work (15%) Collaborate with South Carolina client manager and Director of Public Health Strategy on annual work plan, to be revisited and adjusted quarterly Use internal data (e.g., referrals) and external data (e.g., clinical quality measures) to inform and prioritize work Manage annual training budget allocation Promote the South Carolina Tobacco Quitline and training opportunities (20%) Represent state client and RVO Health at state and regional conferences Co-develop and distribute promotional materials to interested parties Identify training prospects and collect contact information from interested parties Deliver training and technical assistance to health care providers (45%) Conduct needs assessment with health care system/clinic leaders Adapt training materials to meet specific needs of trainees Train health care providers on brief tobacco intervention and South Carolina Tobacco Quitline referral processes Assist referral partners with referral submission and outcome reporting Report activities and progress (10%) Log training and outreach activity in standard reporting templates Contribute insights and recommendations to monthly and quarterly reports to client Track expenses and submit expense reports Invest in individual and team development (10%) Engage in knowledge building activities (e.g., webinars) and professional development opportunities Actively participate in, and share insights at, Training & Outreach team meetings What We're Looking For: Knowledge of tobacco use and cessation interventions Familiarity with South Carolina health care systems Comfort with public speaking Ability to travel within state (up to 75% of time) Proficiency with Microsoft Office or Google Workspace Pursuant to various state Fair Pay Acts, below is a summary of compensation elements for this role at the company. The following benefits are provided by RVO Health, subject to eligibility requirements. Starting Salary: $51,000.00 - $62,000.00 *Note actual salary is based on geographic location, qualifications and experience Access to a Free Udemy for Business subscription-thousands of hours of learning content on hundreds of different subjects at your fingertips Health Insurance Coverage (medical, dental, and vision) Life Insurance Short and Long-Term Disability Insurance Flexible Spending Accounts Paid Time Off Holiday Pay 401(k) with match Employee Assistance Program Paid Parental Bonding Benefit Program Pharmacy Benefits Income Protection Plans Pet Services Plans Mental Health Support Wellness Coaching HSA- Health Savings Account Commuter Benefits Gym & Fitness Center Discount Program Who We Are: Founded in 2022, RVO Health is a new healthcare platform of digital media brands, services and technologies focused on building relationships with people throughout their health & wellness journey. We meet people where they are in their personal health journeys and connect them with both the information and the care they need. RVO Health was created by joining teams from both Red Ventures and UnitedHealth Group's Optum Health. Together we're focused on delivering on our vision of a stronger and healthier world. RVO Health is comprised of Healthline Media (Healthline, Medical News Today, Psych Central, Greatist and Bezzy), Healthgrades, FindCare and PlateJoy; Optum Perks, Optum Store and the virtual coaching platforms Real Appeal, Wellness Coaching, and QuitForLife. We offer competitive salaries and a comprehensive benefits program for full-time employees, including medical, dental and vision coverage, paid time off, life insurance, disability coverage, employee assistance program, 401(k) plan and a paid parental leave program. RVO Health is an equal opportunity employer that does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or any other basis protected by law. Employment at RVO Health is based solely on a person's merit and qualifications. We are committed to providing equal employment opportunities to qualified individuals with disabilities. This includes providing reasonable accommodation where appropriate. Should you require a reasonable accommodation to apply or participate in the job application or interview process, please contact accommodations@rvohealth.com. We do not provide visa sponsorship for this role at this time. #LI-remote RVO Health Privacy Policy: ***********************************
$51k-62k yearly Auto-Apply 2d ago
Quality Outreach Specialist
Honest Health
Remote job
Who You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you-instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders-from health systems, physician organizations, and payers to providers, practices, and patients - to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that's just an Honest day's work. Your Role The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality programs by removing barriers to achieving high quality health outcomes. As the Quality Outreach Specialist, you will identify and remove patient barriers to accessing and receiving care, like patient medication adherence outreach, connecting patients with care providers and available services, and medical record review to identify gaps in care. Additionally, you will work with the quality team to develop initiatives and educational materials for our providers, patients, and internal market teams. Primary Functions of the Quality Outreach Specialist Include: Patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions Patient outreach calls to connect patients with important care and services to close critical gaps in care Follow up with patients' care team on findings from patient conversations, when necessary. Complete medical record reviews to find evidence of clinical gap in care closure Prepare and submit gap in care closure details to the payor and joint venture partners. Provision of subject matter expertise on educational tools and learning sessions development. Identify learning opportunities for practices and providers based on medical record review, outreach call, and other initiative outcomes. Support the development of initiatives to support patient care and gap in care closure. Support the creation and review of educational materials and learning sessions for external provider partners on themes and findings from outreach programs and initiatives. Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. Medical Assistant, Licensed Practical Nurse, Certified Nursing Assistant, , Emergency Medical Technician, Pharmacy Technician license or certification required Bachelor's/ Undergraduate degree preferred 3+ years of experience in a role for which closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities Prior quality measure chart review experience Experience complying with Health Insurance Portability and Accountability Act (HIPAA) Inpatient or outpatient clinical experience, including strong electronic medical records (EMR) experience preferred Ability to manage deadlines and handle multiple tasks simultaneously Detail orientated, organized and self-motivated Ability to handle sensitive and/or confidential material and information appropriately Strong verbal and written communication skills Ability to work with large files and data sets Proficient in Microsoft Office Suite : PowerPoint for presentations, Excel for mathematical formulas, charts, tables; Word and Outlook for communication to patients, healthcare insurance companies and internal company personnel The base pay range for this role is $25.72 - $28.89. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. How You are Supported Full time team members may be eligible for: Competitive Compensation Attractive base salary with performance-based bonuses and rewards 401(k) plan with a generous company match, fully vested from day one Comprehensive Health and Wellness Benefits Flexible health, dental, and vision insurance options tailored to your needs Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants 100% company-paid short-term disability and life insurance Wellness programs and resources to support your physical and mental health Work-Life Balance Generous paid time off, including vacation, sick leave, and paid holidays annually Two paid volunteer days to support causes you're passionate about Flexible work arrangements to accommodate your lifestyle Professional Development Robust onboarding program and ongoing training opportunities Reimbursement for role-related continuing education and certifications Family-Friendly Policies Paid parental leave for new parents Dependent care flexible spending accounts Support for work-life integration Collaborative and Purpose-Driven Environment Work alongside professionals who share your commitment to Honest's high-quality, value-based care model Opportunities to contribute to meaningful projects and initiatives Additional Perks Team member recognition programs Team-building events and social activities Join us and experience a rewarding career where your contributions are valued and your growth is supported. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email *********************** for assistance. Reasonable accommodation will be determined on a case-by-case basis. Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, Honest Health will never ask for confidential details-such as social security numbers, bank accounts, or routing numbers-before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform. We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at ***********************.
$25.7-28.9 hourly Auto-Apply 16d ago
SPENGA Marketing and Outreach Specialist
Spenga Ann Arbor
Remote job
Benefits: 401(k) Bonus based on performance Competitive salary Employee discounts About the role: We're looking for a highly motivated and energetic Sales & Outreach Specialist to help SPENGA Ann Arbor grow! This role is all about speed, hustle, and heart focused on lead engagement, building relationships with local businesses, and executing grassroots marketing strategies. You'll be the first voice people hear from SPENGA, so energy, clarity, and confidence are a must. The role is part-time and remote with local travel expectations. Pay comes in the form of bi-weekly salary with commission and bonuses based on performance. Who you are: 3+ years of experience in marketing, customer service, and B2B outreach preferred You love talking to people and helping them solve their challenges Comfortable with phone, text, and face-to-face outreach Strong organizational skills and experience with CRM usage Experience planning small local events A love for fitness, wellness, and community-building Availability during key lead-gen hours (mornings, evenings, weekends as needed) Ability to travel in the local area to generate local business leads and plan/lead grassroots events High energy, self-starter attitude What you'll do: Rapid Lead Response: Call, text, and follow up with every new lead shortly after them opting in. Schedule first time studio visits and trial classes. Keep accurate notes in our CRM (Axle + Mindbody). Follow up with leads after first visits. Grassroots Marketing: Visit local businesses and events to promote SPENGA. Hand out flyers, posters, and build word-of-mouth buzz. Coordinate booth setups at community events. Assist GM with coordination of private events in-studio. B2B Partnership Development: Build strategic partnerships with local businesses for referral programs, employee wellness offers, and joint events. Maintain relationships and track referral performance. Studio Support: Occasionally assist in welcoming prospects at the studio. Collaborate with instructors and sales managers to ensure a consistent, high-energy member experience. Meetings: Participate in weekly meetings with GM and owners to review metrics and marketing strategies. We Offer: Free employee studio membership SPENGA Crew discounts with various fitness organizations (NASM, Mad Dogg, YogaFit) Clear compensation structure + commissions and bonuses for securing new memberships Paid sick time off for part time and full time employees Company 401k Exciting, social, and positive working environment Like-minded team members Team building activities and social events Salary will be commensurate with experience. About SPENGA:SPENGA is an exciting, rapidly growing company, with the goal of bringing the Best. Workout. Ever. to every neighborhood. SPENGA stands for spin + strength + yoga, and we combine all 3 into one 60-minute workout. With 300+ studios running, we are continuously building our teams of instructors, salespeople, managers, and operators, to prepare for expansion. In-depth training is provided through our learning management system, along with hands-on training with the management team. At SPENGA, our members come for the workout and stay for the community. And the strength of our community starts with our SPENGA teams. This is a remote position. SPENGA is an exciting, rapidly growing company, with the goal of bringing the Best. Workout. Ever. to every neighborhood. SPENGA stands for spin + strength + yoga, and we combine all 3 into one 60-minute workout. With 50+ studios running and 250+ territories sold, we are continuously building our teams of instructors, salespeople, managers, and operators, to prepare for expansion. In-depth training is provided through our LMS, along with live training with the corporate team. At SPENGA, our members come for the workout and stay for the community. And the strength of our community starts with our SPENGA teams.
$35k-54k yearly est. Auto-Apply 60d+ ago
Specialist - Outreach-On-Call
Outreach-On-Call
Remote job
This position engages and interacts with educational institutions, foundations, members of state departments of education, and school and district administration to support the success of Educational systems in Michigan. The Office of K-12 Outreach is seeking educational professionals that have skill sets that align to the goals of our partners to support planning professional learning in a variety of areas including instructional design, research based best practices, school and district leadership, systems development, strategic planning, DEI, and state and federal initiatives. This position will help develop outreach proposals to expand programs offered by the Office of K-12 Outreach and develop and implement new initiatives focused on leadership development and capacity building to increase student achievement. Specialists must be highly skilled in using technology platforms for team collaboration. This position engages and interacts with educational associations, foundations, members of state departments of education, and school and district administration to disseminate content and progress updates in regard to the K-12 Educational system relating to programs implemented by the Office of K-12 Outreach. Develop outreach proposals to expand programs offered by the Office of K-12 Outreach. Develop and implement new initiatives focused on leadership development and capacity building to increase student achievement. Equal Employment Opportunity Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability or protected veteran status. Required Degree Masters -Education Desired Degree Doctorate -Educational Studies (K-12 Edu or Higher Minimum Requirements MA in Education Field Desired Qualifications Ph.D. in Educational Studies (k-12 Education or Higher Ed) and/or K-12 Administration Specialists must be highly skilled in using technology platforms for team collaboration. Required Application Materials CV, Cover Letter, References Work Hours Standard working hours Review of Applications Begins On 02/22/2024 Remote Work Statement MSU strives to provide a flexible work environment and this position has been designated as remote-friendly. Remote-friendly means some or all of the duties can be performed remotely as mutually agreed upon. Website ****************************** MSU Statement Michigan State University has been advancing the common good with uncommon will for more than 160 years. One of the top research universities in the world, MSU pushes the boundaries of discovery and forges enduring partnerships to solve the most pressing global challenges while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
$35k-53k yearly est. 60d+ ago
Patient Outreach Specialist (Remote)
Rippl Care
Remote job
If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Patient Outreach Specialist who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better-so we're doing it. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need-when and where they need it. And we're proving it works. We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait. We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out-together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us. We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team-because when they feel valued and empowered, patients and caregivers get the care they deserve. Join the movement We're looking to find other changemakers who are ready to join our movement. The Role: The Patient Outreach Specialist serves as the initial point of contact for individuals who may be experiencing memory and brain health changes but have not yet been diagnosed or engaged in care. This role conducts proactive outreach to patients or caregivers identified through our partners and initiates brief conversations aimed at identifying needs and introducing Rippl's dementia care model. Essential Functions: Reach out to new potential patients and caregivers who have not yet engaged with Rippl, using empathy and warmth to introduce our services. Administer brief dementia-related screeners to assess the potential need for further evaluation or support. Educate individuals about Rippl's mission and dementia care programs, emphasizing the support we offer for both patients and caregivers. Encourage enrollment when appropriate and schedule initial clinical appointments with the Rippl care team. Handle inbound calls and outbound calls to support the needs of new patients. Accurately document outreach efforts, screening responses, and next steps in Salesforce and the electronic health record (Athena). Coordinate with various teams to ensure a seamless transition into care for those who enroll. Meet or exceed targets for engagement, screening completion, documentation quality, and conversion to care. Qualifications: Passion for working with seniors, their families and caregivers Experience performing screeners, assessments, or intakes 2+ years experience in a healthcare environment required Experienced in patient outreach, engagement, intake, medical reception and/or customer service Proficiency in various systems such as Google Suite, Salesforce, Athena (EHR), and cloud based telephony systems Knowledge of medical and behavioral health terminology Exceptional interpersonal, customer service, problem-solving and conflict resolution skills Comfortable in a high speed, ever changing, start-up environment Strong verbal and written communication skills Excellent organizational and multitasking skills Ability to connect and build relationships with people from diverse backgrounds Access to high-speed, reliable internet and a secure, private workspace conducive to confidentiality required What's in it for you Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility Fast growth company with opportunities to take on more responsibility or develop into new roles Flexible work environment and the opportunity to work from home Competitive compensation 401(k) plan with a company contribution Medical, Dental and Vision coverage for you and your family Life insurance and Disability Remote Work stipend Generous Paid Time Off Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location. Role: Range is $19 to $25 per hour depending on experience We are going to make some very big waves starting with a small Rippl - come join us!
$19-25 hourly Auto-Apply 60d+ ago
Outreach Specialist- Remote Opportunity
External Brand
Remote job
ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit ********************************************* PURPOSE: Under the guidance of supervisor and utilizing scheduling protocols, contacts pre-identified patients for follow-up medical care and schedules appointments. Receives telephone calls from patients requesting appointment scheduling as a result of letters mailed and/or automatic messaging. Makes critical decisions while talking to patients to handle issues presented. Coordinates all care needed to accomplish the health plan protocols, including scheduling non-ARC appointments, requesting records, obtaining authorizations, notifying PCP of outcome of this coordination. Works with member's health plan to coordinate processes and resources where applicable. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS: Reviews and validates list of patients for contact. Contacts patients via telephone, using scripts. Receives telephone calls from patients who have received letters or automatic messaging. Books appointments utilizing computer system. When booking appointments, also confirms and/or makes any changes to demographic information. Schedules appointments for any ARC doctor, following protocols. Schedules appointments for non-ARC doctors with patient's permission. Coordinates care by obtaining authorizations, specialist records and other documents as needed. Navigates electronic medical record to determine if care gaps have been closed. Provides any necessary documentation to analytics team. Orders lab work and mammograms as dictated by scheduling protocols Provides administrative support for the Advanced Care Coordination Clinic Contacts and schedules patients due for a Medicare wellness visit. Responsible for keeping nurse practitioner's schedules filled. Handles all complaints, errors and problems as presented by patients. Uses judgment to attempt to appoint patients who may resist. Notifies appropriate departments of issues and errors (deaths, for example). Notes issues with patient-generated list and directs updates to analytics. Interacts with doctors when their input regarding patients is needed. Tracks outcomes of contact with patients. Prepares reports of outcomes for supervisor. Stays up-to-date with new developments and changes throughout Austin Regional Clinic including changes in doctors and staff, specialties and services, policies and procedures, protocols, etc. OTHER DUTIES AND RESPONSIBILITIES: Performs other duties as assigned. MINIMUM QUALIFICATIONS: Education: High school diploma or equivalent. Preferred: Experience scheduling appointments, and a broad knowledge of company operations. Previous experience working in an outpatient medical setting. Knowledge, Skills, and Abilities: Prior experience scheduling appointments preferred. Broad knowledge of ARC's operations, preferred. Excellent verbal and written communication skills. Excellent customer service skills. Ability to work in a team oriented environment. Knowledge of medical terminology Ability to think critically and rationally for decisions that meet the patient and ARC's needs. Ability to work independently. Ability to problem-solve and offer suggestions for process improvements to other coordinating departments. Ability to create, sort and manipulate data in Excel spreadsheets. Bilingual in English and Spanish preferred. Work schedule: Monday through Friday 8:00 am to 5:00 pm; Remote opportunity once in person orientation complete.
$34k-49k yearly est. 57d ago
Housing Coordinator
Mentoring Prof Dba Oak Tree Support Services
Remote job
The Housing Coordinator enables people to establish or maintain housing. Supervisory Responsibilities: None. Duties/Responsibilities: Assist clients in locating suitable housing in the community Complete person-centered housing plan Assist client in locating community resources Performs outreach to the community and other appropriate agencies regarding Housing Communicates regularly with clients and their support teams to discuss progress, problems, and plans Take clients to tour potential housing sites Assist clients in completing housing application Assist with packing and move coordination Follow up on a regular basis once move is completed to assist in housing stability Maintain progress notes as required Attend weekly team meeting and one on one meetings as required Have a solid internet connection if intending to work remote Required Skills/Abilities: Completion of HSS DHS training within the first week of employment Completion of mandated reporter vulnerable adult training within the first week of employment The ability to pass a DHS background check Knowledge of person-centered thinking and practices General knowledge of the housing search process and subsidized housing types Excellent verbal and written communication skills. Embodies the core values of Mentoring Professionals: We are change We do the right thing (when no one is looking) We listen to help We bring joy We don't give up on people Able to perform independent tasks without supervision Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Proficient with Microsoft Office Suite or related software. Competencies: Integrity when interacting with clients and their support team The ability to work independently and complete task in a timely manner Ability to work in a team-based environment, share resources, and cooperate with others Punctual to all appointments Education and Experience: High school diploma or equivalent required Valid driver's license required Ability to pass DHS background check required Experience working with vulnerable adults preferred
$34k-48k yearly est. Auto-Apply 60d+ ago
Influencer Outreach Specialist
FZCO
Remote job
About Prop Firm Match Global FZCO Prop Firm Match Global FZCO is the leading platform for discovering, comparing, and selecting proprietary trading firms. We help traders make confident, informed decisions by offering side-by-side comparisons, verified reviews, and data-backed insights from the top prop firms worldwide. Our mission is to bring transparency, access, and clarity to the prop trading space. Role mission To expand Prop Firm Match's global influencer network by identifying, connecting with, and nurturing relationships with influencers in the trading and fintech ecosystems - amplifying brand visibility, credibility, and community reach across multiple markets. Top 5 Performance Objectives 1. Build and scale the global influencer network (first 90 days; ongoing) ▸ Identify, qualify, and collaborate with a variety of forex and futures content creators (Instagram/YouTube/Tiktok) aligned with Prop Firm Match's mission. ▸ Develop and maintain a structured influencer database with clear categorization (region, audience size, engagement type). ▸ Focus initially on European and North American outreach with early expansion into East Asia as a secondary growth region. . 2. Develop and manage influencer relationships (quarter 1-2) ▸ Build early trust and professional rapport with influencers through strong communication and follow-up. ▸ Ensure positive long-term relationships by providing clear collaboration guidelines and tracking engagement outcomes. 3. Execute influencer campaigns and measure impact (quarter 2-3) ▸ Coordinate campaigns that drive measurable traffic and engagement (YouTube mentions, reviews, affiliate collaborations). ▸ Track influencer performance metrics (CTR, conversions, content reach) using internal analytics dashboards. ▸ Present weekly campaign impact summaries to the Growth team. ▸ Negotiate collaboration terms, secure deals efficiently, and hand over structured briefs to influencers once confirmed. ▸ Assist with affiliate support by responding to partner queries through Intercom, ensuring fast, clear, and accurate communication. 4. Contribute to the firm's market intelligence and brand credibility (ongoing) ▸ Leverage influencer insights to inform content strategy, audience trends, and partnership decisions. ▸ Identify emerging influencer categories and new audience segments within the trading ecosystem. ▸ Ensure influencers accurately represent the brand's integrity and transparency standards. 5. Establish outreach processes and communication systems ▸ Build SOPs for influencer selection, outreach templates, and negotiation playbooks. ▸ Use automation tools (e.g., Google Sheets, CRM) to standardize reporting and tracking ▸ Collaborate with Growth and Marketing to ensure consistent brand tone across communications. Requirements Key traits of top performers: ▸ Deep understanding of the prop trading and fintech industry, including firm reputations and audience nuances. ▸ Excellent communication and relationship-building skills. ▸ Self-driven, consistent, and detail-oriented in tracking outreach and results. ▸ Curious and globally minded, with awareness of regional influencer ecosystems (particularly Asia). Before applying, please take into account that: ▸ If you don't meet every single qualification but believe you can excel in the role based on what it requires - we encourage you to apply. ▸ We are an equal opportunity employer and welcome applicants from all backgrounds, experiences, and perspectives. ▸ Even if it's not listed as a formal requirement, we truly value candidates who have clear familiarity with the prop trading industry and us, our mission and what we do. Hiring Process We keep our process simple, transparent, and respectful of your time. Here's what to expect: 1. Initial Filtering: We review all applications carefully, assessing relevant experience, achievements, and communication style. 2. Video Self-Introduction: A short asynchronous video where you introduce yourself, share your background, and reflect your communication style and personality. 3. Task: A short, role-specific challenge that allows you to demonstrate your thinking, creativity, and approach to real job scenarios. 4. HR Interview: A conversation with our HR team to explore your career journey, motivations, and alignment with our values and ways of working at Prop Firm Match Global FZCO. 5. Professional interview A deeper discussion with Joseph Pratte or Roberts Gomins - your potential manager or team lead, focusing on your professional expertise, mindset, and fit with our growth vision. 6. Offer Stage: If successful, we'll start with an informal offer discussion, followed by a formal written offer. Benefits Why Join Prop Firm Match Global FZCO? ▸ Contribute to a growing platform shaping the future of proprietary trading ▸ Work within a flat, collaborative team where your input is valued ▸ Competitive compensation, including base pay and benefits ▸ 100% medical, dental, and vision coverage (U.S. only), including gender-affirming care ▸ Flexible PTO including sick time, holidays, refresh days, and sabbatical leave after five years ▸ Work remotely with the flexibility you need to maintain balance and focus. ▸ A professional, transparent, and healthy work environment that values both results and people.
$35k-49k yearly est. Auto-Apply 29d ago
Part-Time Outreach Specialist
Meetmae
Remote job
MEET MAE Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support. We address access gaps and bolster physical and emotional well-being through continuous engagement, risk assessment, early symptom awareness, and a community-led model of support for our users. Digital solutions to address cultural deficits in care are at the forefront of femtech innovation and Mae is quickly gaining traction with healthcare payers as a viable solution to address the implicit, explicit, and structural biases that hinder equitable maternal health. In addressing whole-person care and focusing on self-advocacy, education, and community, we seek to improve the outcomes for mothers and birthing people, while also reducing clinical costs of care, at impactful scale. See what we're doing at *************** and @maehealthinc on Instagram. At Mae, we are: Solution-Oriented . We make every problem an opportunity to improve. Curious. We demonstrate focused curiosity. Mission-connected. We ensure mamas and doulas are heard. Adaptable . We learn, adapt, and execute. Data-driven . We quantify the uncertainty. Accountable . We own our decisions and their outcomes. Transparent . We don't hide the hard stuff. Job Description Mae is hiring a Part-Time Outreach Specialist who is passionate about maternal health equity and ready to help members enroll on our platform to receive support from pregnancy through postpartum. As an Outreach Specialist, you will be responsible for outbound outreach to health insurance plan members to introduce Mae's offering and onboard new members onto Mae's platform. Ideal candidates for this role have experience with high-volume outbound outreach. This role will report to the Outreach Team Manager. Key responsibilities include: Placing a high volume of calls daily to members of Mae's health plan partners who may be eligible to join our platform in order to meet monthly targets Share accurate and up to date information with members about the support they can receive through Mae, emphasizing Mae's offering of community-based doula support Guiding members through the enrollment and onboarding process, so they can get started using the platform Using a custom-built internal tool to identify the appropriate members to outreach to based on the team's enrollment targets for the month Providing daily and weekly feedback to internal team members on issues and barriers affecting outreach quality or ability to achieve targets Utilizing influencing / motivational skills to ensure maximum member engagement Qualifications What we are looking for: 1-3 years' experience in patient outreach or a healthcare-related field, with an emphasis on patient enrollment or engagement Highly organized and able to manage time effectively Experience working in an environment that required high outbound call volumes Track record on exceeding targets Comfort with managing priorities that may change on a daily or weekly basis Enthusiastic and friendly disposition Empathy in human interaction and desire to improve health of individual and whole communities Work expectations: Part-time 1099 (contract) with possibility of increased hours depending on business needs 6-month contract with possibility of extension depending on business needs Monday - Friday (20 hours per week maximum, daily work hours flexible between 10am - 6pm ET) Daily outreach expectations: A minimum of 50 outreach attempts per day, primarily phone calls $2,500 per month contract with potential for additional monthly bonus Flexible U.S. work location Additional Information All your information will be kept confidential according to EEO guidelines. We are currently only hiring US based applicants and are unable to sponsor visas. Mae Health Participates in E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.
$35k-49k yearly est. 5h ago
Membership Sales & Outreach Specialist
Perspire Sauna Studio of Stamford
Remote job
Job DescriptionBenefits: Bonus based on performance Competitive salary Employee discounts Flexible schedule Opportunity for advancement Training & development Company Overview Perspire Sauna Studio is the nations fastest-growing infrared sauna studio, dedicated to delivering a premium wellness experience through infrared heat therapy, red light therapy, and contrast therapy known as a SN shower. As we prepare to open our doors, we are looking for energetic, proactive, and organized Membership Sales & Outreach Specialist to help build our founding member base and establish strong community partnerships. Be part of an exciting new wellness business in your community. Gain hands-on experience in sales, marketing, and business development. Opportunity for growth as the studio opens and expands. Perspire Sauna Studio is passionate about enhancing well-being through infrared sauna therapy, offering a space for relaxation, recovery, and transformation. With a focus on health, community, and innovation, Perspire helps people feel their bestone sweat session at a time. Come join us as we bring a new and upscale wellness experience to Stamford . Job Summary The Membership Sales & Outreach Specialist plays a critical role in the success of the studios pre-sale phase. This position focuses on lead management, grassroots marketing, community outreach, and attending tabling events to drive awareness and secure founding memberships before the studio opens. Responsibilities Lead Nurturing: Contact and nurture warm leads via phone, text, and email to drive membership sign-ups. Lead Tracking: Maintain organized records of lead interactions in the VoIP system. Automated Follow-Up: Assist in executing text/email automation strategies to keep leads engaged. Local Partnerships: Identify and establish partnerships with local and wellness-focused businesses for cross-promotion and event hosting. B2B Collaboration: Coordinate and attend meetings to introduce Perspire Sauna Studio and explore collaboration opportunities. Community Outreach: Research and secure local community events, farmers' markets, wellness fairs, and networking groups to boost brand exposure. Event Coordination: Organize tabling events, distribute marketing materials, and help coordinate pre-sale events to generate excitement for the VIP opening weekend Qualifications People person: Youre outgoing and confident and enjoy building relationships. Sales & marketing savvy: Experience in lead generation, sales, or community outreach is a plus. Organized & proactive: You can manage multiple tasks and follow up without constant supervision. Passion for wellness: You believe in the benefits of infrared sauna therapy and can communicate them effectively. Tech-friendly: Comfortable using CRM software, Google Suite, and communication tools. Compensation: Competitive pay of $17 per hour, plus applicable commissions on membership and package sales. Work remote temporarily due to COVID-19.
$17 hourly 13d ago
Provider Engagement & Outreach Specialist (Remote Option)
Partners Behavioral Health Management 4.3
Remote job
Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for any of Partners locations; Remote Option Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The Provider Engagement & Outreach Specialist serves as a liaison between Partners Health Management and healthcare/physical health providers to drive quality improvement, practice transformation, and provider engagement. This role supports physical health providers in implementing evidence-based workflows, optimizing care delivery models, and aligning with value-based care initiatives. The Specialist also leads outreach efforts to foster collaborative relationships, deliver educational resources, and support providers in meeting performance and compliance benchmarks. Roles and Responsibilities: Support medical providers in transforming care delivery through implementation of patient-centered medical home (PCMH), value-based care models, and quality improvement initiatives. Engage directly with providers and healthcare teams across North Carolina to build strong partnerships, understand their unique challenges, and provide tailored assistance Conduct on-site and virtual practice visits to assess workflows, identify improvement opportunities, and provide technical assistance and resources. Analyze and utilize performance data (e.g., HEDIS, Medicaid measures) to collaborate with providers to design targeted interventions that improve care quality and patient outcomes. Assist practices with change management strategies to enhance patient outcomes and operational efficiency Act as a liaison in supporting providers in adopting value-based care practices, that enhance clinical efficiency and patient outcomes Develop and disseminate outreach materials, toolkits, and communication strategies to strengthen provider relationships. Stay abreast of emerging best practices, payer requirements, and regulatory changes affecting provider performance and transformation. Deliver training and coaching on practice transformation topics, data use, and workflow redesign Track provider progress, document interactions, and report outcomes and barriers to leadership for continuous program improvement. Work directly with physicians, clinical teams, and administrative staff to improve care delivery, enhance patient outcomes, and increase performance. Collaborate with internal stakeholders to align resources and interventions Support practice transformation initiatives that drive sustained improvements in care quality and operational efficiency Work with providers to encourage preventive service utilization and effective chronic condition management among their patient populations Assist clinicians achieve measurable improvements in health outcomes and patient satisfaction by fostering patient engagement and adherence to recommended care plans Knowledge, Skills and Abilities: • Deep understanding of value-based care models, and healthcare quality programs. • Experience in healthcare practice transformation, care delivery redesign or clinical operations • Experience engaging and coaching clinical teams (physicians, nurses, and practice managers) • Familiarity with health equity initiatives and strategies to address social drivers of health. • Experience in Project Management and familiarity in process mapping and workflow analysis tools. • Knowledge of and ability to explain and apply the provisions of contractual practices adopted by Partners Health Management and required by NC Division of Health Benefits. • Demonstrate working knowledge of HEDIS quality measures and reporting requirements to support accurate provider education and engagement • Collaborate with providers and internal teams to close care gaps and ensure compliance with HEDIS and other quality initiatives. • Experience working with large multi-site practices. • Ability to analyze clinical and operational data to drive improvement initiatives. • Excellent facilitation and project management skills and familiarity in process mapping and workflow analysis tools. • Strong problem solving, decision-making and negotiating skills. • Exceptional interpersonal skills and strong written and verbal communication skills. • Excellent organizational skills. • Ability to multi-task and meet deadlines. • Considerable knowledge of the laws, regulations and policies that govern the program, which includes and is not limited to contractual requirements adopted by NC Division of Health Benefits and other governmental oversight agencies. • Strong problem solving, negotiation, arbitration, and conflict resolution skills. • Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint. • Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements. • Ability to make prompt independent decisions based upon relevant facts. • Ability to establish rapport and maintain effective working relationships. • Ability to act with tact and diplomacy in all situations. • Ability to maintain strict confidentiality in all areas of work. • Experience with Electronic Health Records (HER) for clinical processes Education and Experience Required: Bachelor's degree and a minimum of four years of experience in managed care or a related field with a healthcare provider or insurer/payer. Relevant areas may include provider relations, network development or design, provider engagement services, contract management, or patient financial services. Experience in auditing, accounting, or finance is also applicable. A combination of relevant education and experience may be considered in lieu of a Bachelor's degree. Must be able to travel as required. 4 years of significant and relevant work experience in medical practice management in lieu of educational requirements may be accepted, particularly with significant administrative experience in a clinic setting. Must have the ability to travel as indicated. Other requirements: Must reside in North Carolina or within 40 miles of the NC border. Education and Experience Preferred: Bachelor's degree in Nursing, Public Health, Healthcare Administration, or a related field (Master's degree preferred). Deep understanding of value-based care models, healthcare quality programs, and population health initiatives. Demonstrated experience in practice transformation roles and practice support. Licensure/Certification Requirements: None
$29k-34k yearly est. Auto-Apply 60d+ ago
Outreach Pharmacy Specialist
Bluecross Blueshield of Tennessee 4.7
Remote job
Are you passionate about helping people live healthier lives while building a rewarding career? Join us as an Outreach Pharmacy Specialist, where you'll be the trusted voice guiding members through their benefits, connecting them with the care they need, and making a real impact on their health journey. You'll work in a supportive environment that values independence, creativity, and strong communication skills-while providing the tools you need to succeed. This role offers the opportunity to grow your expertise, contribute to meaningful health initiatives, and be part of a team that truly makes a difference. What we're looking for: Preference for candidates with a strong knowledge of medications and insurance Preference for candidates within 50 miles of the Chattanooga, TN, area Strong phone-based communication skills and ability to engage members effectively Ability to work independently and as part of a team Schedule: Monday-Friday, 8:00 AM-4:30 PM EST Take the next step toward a career that combines purpose and growth-apply today! Job Responsibilities Reviewing, updating, maintaining and monitoring pharmacy information disseminated to external and internal customers (as necessary). Conducting outbound educational telephone calls regarding medication adherence to members, prescribers and pharmacists as directed. Motivating members to become compliant by refilling their prescriptions and/or coordinating necessary communication or scheduling with providers and pharmacies. Handling customer service inquiries and problems via the telephone. Job Qualifications Education High School Diploma or equivalent Experience 2 years - Experience in a retail pharmacy required 1 year - Experience in a pharmacy setting with knowledge in medical terminology required 1 year - Technical or operational experience required Skills\Certifications Certified Pharmacy Technician (PTCB or NHA) required. Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Ability to work independently on multiple tasks involving critical deadlines with little or no supervision as well as part of a team Experience in a call center or customer service environment. BBNE, Grade 07, AEP Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
$39k-52k yearly est. Auto-Apply 3d ago

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Updated December 12, 2025

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