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Outreach Specialist Sr - Field Position - Hory, Anderson, Charleston, SC Counties - PS25873Location: United StatesNewRequisition #: PS25873Your Talent. Our Vision. At HealthyBlue, a strategic alliance of Blue Cross NC and Amerigroup, an Anthem Inc. company , it’s
a powerful combination, and the foundation upon which we’re creating greater
access to care for our members, greater value for our customers, and greater
health for our communities. Join us and together we will drive thefuture of health care .This is an exceptional opportunity to do innovative work that
means more to you and those we serve at one of America's leading health
benefits companies and a Fortune Top 50 Company.Position: OutreachSpecialist Sr.Location: South Carolina-Field position within Horry,Charleston and/or Anderson countiesHours: Flexible schedule within 7:00 am to 7:00 pm workschedule, Monday through SundayResponsible for serving as the initial and main
point of Field contact between the Company and the current and potential
members.Primary duties may include, but are not limited
to:· Responds to telephone, written, and in-person
inquiries and initiates steps to assist regarding issues relating to content or
interpretation of benefits, policies and procedures. Researches and resolves
complex customer and business issues.· Provides timely and accurate resolution of
inquiries and issues regarding benefits, services and policies.· Supports and promotes State Sponsored Programs
through participation in community events.· Represents State Sponsored Programs in community
collaborations.· Supports member access to care through home
visits, processing of reports, and distribution of collateral materials.· Performs new member orientations.· Provides superior quality outcomes by taking
ownership of issues to ensure timely resolution or follow-up.· Participates in promotional activities.· Provides superior, professional, and courteous service
to customers.· Organizes daily work without significant
guidance.· Collaborates with team members to provide
superior customer services.· Supports Health Management Programs.· Conducts research to assist customers with
inquiries or issues.· Actively identifies and pursues opportunities
for team involvement.· Trains CRC associates.· Provides leadership in the development and
implementation of the Outreach Program and work plans.· Represents department with key internal and
external stake holders and targeted community partners.· Mentors and coaches Outreach staff.· Generates management reports.Other Skills;Ø Bi-lingual a plus (speak, read, write Spanish)!Ø Proficient in all MS Office programs.Ø Medicaid experience.Requirements:· Requires a HS Diploma; 4 years of customer service experience,
understanding of the basic principles of managed care and the concepts of
publicly financed health insurance such as Medicaid and SCHIP programs; or any
combination of education and experience, which would provide an equivalent
background.· Comprehends the various cultural and linguistic needs of the
Medicaid and SCHIP population, knowledge of the various health and social
services available in the assigned region with a special emphasis on services
offered by community based organizations, ability to work professionally with
the company's associates, community-based organizations, providers and plan
members.Anthem, Inc. is ranked as one of America’s Most Admired Companiesamong health insurers by Fortune magazine and is a 2018 DiversityInc magazineTop 50 Company for Diversity. To learn more about our company and apply, pleasevisit us at careers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.
Vacancy expired!