Health Program Representative I at Elevance Health in NORFOLK, Virginia

Job Description:

Health Program Representative I




Location: Ideal candidates will live within 50 miles of one of our PulsePoint office locations.


The Health Program Representative I is responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.


How you will make an impact:

• Gathers and records appropriate member information in accordance with policies and procedures via telephone.


• Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.


• Records call details and utilize call scripts as needed based on client requirements.


• Directs member inquiries to appropriate clinical staff.


• Initiates referrals and manages consults from clinicians for participants registered in Care Management.


• Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.


• Contacts physician offices to obtain demographic information or related data as needed.

• Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

• Computer/keyboarding proficiency strongly preferred.


• Knowledge of company products, services and benefits preferred.