Outreach Specialist

Job ID: JP00045441

Anticipated Start Date: 05/02/2025

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for serving as the initial and main point of Field contact between the Company and 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.
• 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.
• Provides superior, professional, and courteous service to customers.
• Candidates will be doing outreach to assist members with renewal applications and will assisting with disenrollments
• 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.

Requirements:

• Requires HS Diploma and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.
• Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
• Community Health Worker Certification must be obtained in the first 6 months of employment.

Preferred

• Bilingual and/or call center experience preferred
• Medicaid experience
• Computer skills - excel, data entry experience.

Job Type: Contract

Additional Details:

• Work Schedule: Monday-Friday 9:00am-5:00pm
• Possible need to flex hours to include evening hours Mondays and Thursday until 7pm to match NJ FamilyCare's call center hours.
• Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health Pulse Point location.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.