This job was posted by https://idahoworks.gov : For more information,
please see: https://idahoworks.gov/jobs/2358025
Member Engagement Specialist - Seriously Ill Members
Work Remote if you reside within WA, OR, ID, UT
Outside these states will not qualify
Build a career with purpose. Join our
Cause
**to create a person-focused and economically sustainable health care
system.
Who We Are Looking For:**
Every day, Cambia\'s dedicated team of Member Engagement Specialist are
living our mission to make health care easier and lives better. The
Member Engagement Specialist provides member outreach to remove
barriers, assist and support education about benefits, preventative
health screenings, and community resources as part of specific
initiatives or care management programs during critical and complex
health needs for our members.
Member Engagement Specialists encourages engagement in health-related
activities and programs and provide appropriate referrals to case
management and/or other internal or external services and resources.
Provide excellent and caring services to all internal and external
customers. All in service of making our members health journey easier.
Are you a person who can engage with members in their critical
healthcare journey to meet unique needs? Can you evaluate and overcome
challenges to achieve a positive outcome? This role may be the perfect
fit for you!
What You Bring to Cambia:
Qualifications:
High School Diploma
1 year customer service such as call center, insurance, hospital or
provider medical office, Prior health plan Customer Service or
equivalent combination or education with medical Preferred
CNA CMA certification preferred, but not required
Skills and Attributes:
Strong communication skills, with ability to interact with diverse
individuals on sensitive topics, and provide excellent customer
service through courteous telephone etiquette, listening, and
empathy.
General organization, data entry, and administrative skills, with
proficiency in Microsoft Office, Outlook, and Internet search, and
ability to handle multiple tasks and prioritize workload.
Ability to work independently, prioritize work, meet deadlines, and
achieve operational standards, with creative problem-solving skills
and ability to research and refer to others as needed.
Basic knowledge of medical terminology and familiarity with disease
and lifestyle topics, with ability to adapt to a fast-paced
environment and learn, retain, and interpret new information.
Ability to make decisions and exercise good judgment in a complex
and rapidly changing environment, with ability to work under stress
and pressure and respond to inquiries with tact and diplomacy.
Work in a team environment, demonstrating initiative in researching
and resolving issues along with prioritizing work to meet deadlines
and achieve operational standards.
Exercise discretion on sensitive and confidential matters, with
ability to communicate effectively orally and in writing.
What You Will Do at Cambia:
Outreach and Engagement: Initiates outbound calls or emails to
members for Care Management Programs, utilizing motivational
interviewing to encourage engagement in health-related activities.
Education and Support: Educates members on benefits, tools, and
resources to support preventive screenings, discharge and treatment
plans, and adherence to nationally recognized guidelines.
Care Coordination: Collaborates with Care Managers to identify
member needs, referring to licensed clinical staff and resources as
necessary to ensure comprehensive care.
Platform Management: Utilizes care management platforms to
record and track member interactions, ensuring accurate andup-to-date information.
Interdisciplinary Collaboration: Works with Care Managers and
licensed clinical staff to ensure seamless care coordination and
support for members.
LI-remote
The starting hourly wage for the Member Engagement Specialist role is
\$23.00-\$28.00/hour, depending on candidate\'s geographic location,
certification and experience. Full pay range for the Member Engagement
Specialist role is \$19.00-\$34.40 an hour.
The annual incentive payment target for this position is 5%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning
culture built on trust and innovation anchored in our 100+ year history.
Our caring and supportive colleagues are some of the best and brightest
in the industry, innovating together toward sustainable, person-focused
health care. Whether we\'re helping members, lending a hand to a
colleague or volunteering in our communities, our compassion, empathy
and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you
