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Outreach Specialist Sr - South Carolina (Midlands & Pee Dee Regions) - PS4717

Description

Your Talent. Our Vision. At Anthem, Inc., 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 the future 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.

Outreach Specialist Sr - South Carolina (Midlands & Pee Dee) - PS4717

The Outreach Specialist Sr is responsible 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.
Qualifications

Requires:

  • HS Diploma
  • Bachelors in Marketing or related field preferred.
  • Bilingual Spanish/English preferred.
  • Must live in South Carolina (Columbia, Lexington, Orangeburg, Florence, Aiken, York, Newberry or Sumter counties) and be willing to travel 90% of the work week within the Midlands & Pee Dee Regions (12-13 counties).
  • Must have valid Driver's License.
  • 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 Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.




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