Analyst - Care Management Specialist - Remote

Overview

As an essential member of our Special Needs Plan care team, the telephonic Care Manager Specialist plays a key role in coordinating the care of our members, particularly those with social determinants of health needs and stable health conditions.

In Short

• Engage with members and coordinate their care.
• Develop individualized care plans.
• Document care management activities.
• Collaborate with interdisciplinary care teams.
• Identify and connect members with community resources.
• Meet regulatory compliance requirements.
• Support team objectives and enhance operational efficiency.
• Maintain strong professional relationships.
• Utilize healthcare technology tools.
• Communicate effectively with members and colleagues.

Requirements

• 2+ years of experience in a health-related field.
• 2+ years of customer service experience.
• Proficient in Microsoft Office Suite.
• Experience providing care management for Medicare and/or Medicaid members preferred.
• Bilingual skills, especially English-Spanish, preferred.
• Associate’s degree or Practical Nurse degree/certificate required.
• Access to a private workspace.
• Familiarity with community resources and services.
• Ability to meet performance and productivity metrics.
• Excellent customer service skills.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Flexible work schedules.
• Tuition assistance.
• Employee stock purchase plan.
• Paid time off and family leave.
• Confidential counseling and financial coaching.
• Retiree medical access.
• Comprehensive benefits addressing diverse needs.