Job Description
Join arenaflex, a leading healthcare company, in its mission to revolutionize the way people experience healthcare. As a Service Advocate, you will play a vital role in delivering exceptional customer service and support to arenaflex's government healthcare members. This is an exciting opportunity to work from home, utilize your skills and experience, and make a meaningful impact on people's lives. About arenaflex arenaflex is a healthcare company that shares a singular, clear purpose: carrying our heart to every moment of your wellbeing.
Our purpose guides our commitment to delivering improved human-driven healthcare for a rapidly changing world. Moored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want every individual who works at arenaflex to feel empowered by the role they play in changing our lives and accelerating our ability to innovate and deliver solutions to make healthcare more personal, helpful, and affordable.
Job Summary
The Service Advocate within the Solid Results Group collaborates with members through various channels (digital, phone) and leads efforts to our government healthcare members to move and encourage healthy behaviors through innovative, compassionate, and empathetic communications. The objective of every effort is to ensure that each member has a clear understanding of the available benefits that are available to them under their government healthcare plan for specific screenings and medications.
The Service Advocate delivers supplier and member telephonic efforts to ensure receipt of critical healthcare services, prescriptions, and resources to improve Star health results. Key Responsibilities * Work on at least one of various departmental projects that include: + Inbound and outbound calls to members who may benefit from assigned services including healthcare visits/screenings, vaccination, or medication refill. + Successful capture of obstacles and data collection, utilization of persuasive communication skills to provide solutions to assist in closing gaps in care, and providing top-tier support to every member.
+ Ensures that each client is treated professionally, with respect, and all questions are thoroughly addressed or potentially triaged and answered. + Acts as needed and assists in coordinating care between health with planning, physicians, and pharmacies. + Effectively listens and collects member-reported information components in the CRM tool to support clinical record pursuit for HEDIS clinical record documentation of services. + Provides members with the right information at the right time to assist them in making better decisions about their health and healthcare, to improve member insight, retention, and growth by proficiently conveying coordination services to members and suppliers.
+ Connects with, consults, and educates members based on the member's unique needs, preferences, and understanding of the services. + Takes ownership of member insight and provides exceptional support. + Responds to questions and resolves issues as a "single point of contact" including escalating to leadership as necessary. + Builds a trusting relationship with the member by taking ownership to understand the member's needs completely. + Walks members through programs, bolthires tools, and resources to support healthcare conduct.
+ Takes ownership of member assigned to resolve their issues and connect them with additional services as appropriate. + Reports and tracks all member contacts, events, and results through suitable systems and processes. + Utilizes professional communication skills to build relationships with both internal and external individuals/constituents. + Utilizes relevant system tools and resources to deliver quality business communications including letters and accounting sheets in response to requests received.
+ Handles multiple capabilities as well as numerous products while maintaining and exceeding performance standards. + Recognizes issues that should be escalated properly and provides suggestions for resolution. + Demonstrates exceptional skill and presents a positive image of the organization while interacting with members and constituents. + Upholds individual, team, and business objectives and initiatives; takes ownership for individual results. Additional Responsibilities and Obligations * Windows-based application knowledge with ability to use standard corporate software packages and corporate applications with a high level of computer education.
* Effective communication skills and experience talking with clinical suppliers as well as clinical staff. * Strong listening and communication skills; skilled at creating and maintaining effective working relationships. * Strong analytical skills focusing on precision and attention to detail. * Demonstrated ability to de-escalate situations. * Demonstrated empathy, interest, enthusiasm for learning, empathy, and listening skills. * Ability to apply creative thinking skills when necessary to solve members' interests and willingness to advocate for them.
* Ability to thrive with change, to adapt to different priorities in short periods of time. * Ability to work independently, apply decisive reasoning skills when required, perform multiple tasks easily, and demonstrate exceptional skill in all interactions. * Ability to determine complex issues with responsiveness and caution. * Ability to assimilate and apply new and evolving information. * Ability to pursue successful and autonomous decisions * Ability to perform multiple tasks, focus on, and really adapt to a high-speed changing climate Required Capabilities * Recent and relevant experience working with HEDIS screening measures and conduct change.
* Related knowledge working directly with members/purchasers - ideally in a call center setting. * Minimum 2 years of ongoing and relevant experience within healthcare, healthcare marketing, outreach as well as health education, health instruction, and disease management experience. * 2 - 4 years of experience in a healthcare setting with direct communication with various levels of management including clinical suppliers. Preferred Capability * Bilingual or multilingual candidates are strongly preferred.
* Four-year degree or equivalent is preferred. * Clinical certification (certified nursing assistant, clinical assistant, etc.) is strongly suggested but not required. Education and Accreditation Prerequisites * High School Diploma or G.E.D. Compensation and Benefits
The typical pay range for this job is:
This pay range represents the base hourly rate or base yearly full-time compensation for all positions in the job grade within which this position falls. The actual base compensation offer will depend on various factors including experience, education, location, and other relevant variables.
In addition to your compensation, participate in the benefits of an organization that puts its heart into truly caring for our partners and our communities. arenaflex offers a full range of clinical, dental, and vision benefits. Eligible employees may enroll in the organization's 401(k) retirement savings plan, and a Stock Purchase Plan is also available for eligible employees. arenaflex provides a fully paid term life insurance plan to eligible employees, and short-term and long-term disability benefits.
arenaflex also offers various wellness programs, education assistance, free development courses, a bolthires store and discount programs with participating partners. Regarding downtime, organization employees enjoy Paid Time Off ("PTO") or vacation compensation, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time, and other time off are given consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.arenaflex.com/benefits arenaflex requires certain employees to be fully vaccinated against COVID-19 (including any booster shots as required), where permissible under the law, unless they are exempted for a reasonable accommodation due to disability, medical condition, religious belief, or other legally recognized reason that prevents them from being vaccinated.
You are expected to have received at least one COVID-19 shot before your first day of work and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and jobs, you may be required to provide evidence of full vaccination or an approved reasonable accommodation before you can start working effectively. All eligible candidates can as mentioned below: Read the official notification carefully from the official website.
Read the notification carefully before applying. Fill out the application form (the link is given below). Attach the required document and passport-size photo with signature. Then submit. Done.