Health Program Representative II at Elevance Health in St. Louis, Missouri

Job Description:

Title: Health Program Representative II




Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.


The Health Program Representative II will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under general 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.


• Mentors less experienced Health Program Advocates.

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

• 
  FHPS experience preferred.