2 дня назад
Member Flex Guide (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Member Flex Guide (Healthcare): Supporting health plan members across voice, video, SMS, chat, and digital channels by navigating benefits, finding providers, scheduling care, and conducting clinical outreach with an accent on empathy, accuracy, and HIPAA-compliant service. Focus on flexing between inbound and outbound support, de-escalating complex interactions, using AI-assisted tools, and maintaining accurate documentation across changing seasonal schedules.
Location: Remote USA. Assigned 8.5-hour shifts, including a 30-minute lunch, must fall within seasonal operating hours and may include weekends and schedule changes based on business needs. Availability across all open hours is required; shifts are aligned with Eastern Time.
Company
is a healthcare company founded in 2017 that combines data, AI, clinical services, and member support to improve the health and well-being of older Americans.
What you will do
- Support members through voice, video, SMS, chat, and digital messaging with empathy and professionalism.
- Help members understand benefits, find providers, schedule appointments, and navigate care.
- Conduct proactive clinical outreach, identify escalation paths, and collaborate with clinical staff.
- Use internal systems, data, and an AI Guide Assistant to provide fast, accurate, documented solutions.
- Follow HIPAA requirements, compliance regulations, workflows, and productivity and quality standards.
- Flex between inbound, outbound, and cross-functional programs as business priorities change.
Requirements
- At least 1 year of experience in a high-volume customer-facing role or fast-paced healthcare environment.
- Strong interpersonal, communication, emotional intelligence, multitasking, and relationship-building skills.
- Ability to de-escalate emotionally charged interactions and explain complex information clearly.
- Comfort using AI-powered tools and multiple digital platforms while maintaining accuracy.
- Ability to adapt to frequent process changes, coaching, and shifting priorities.
- Flexible availability across seasonal operating hours, including potential weekend schedules, is required.
Nice to have
- Contact center or call center experience.
- Healthcare, health insurance, or Medicare Advantage experience.
- Familiarity with benefits, scheduling, medical terminology, or HIPAA requirements.
- Experience working with multiple software platforms and managing emotionally demanding situations.
Culture & Benefits
- Employer-sponsored health, dental, and vision plans with low or no premium.
- Generous paid time off and a parental leave program.
- $100 monthly mobile or internet stipend.
- Stock options for all employees and bonus eligibility for most roles.
- 401(k) program and a supportive, collaborative, and inclusive work environment.
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