Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.
Conduct thorough research on attributed patients to better understand their healthcare needs and utilization.
Perform telephonic outreach to the caregivers of attributed patients with the goal of enrolling their child in care and ensuring a seamless onboarding experience.
Collaborate with Provider Engagement Specialists to conduct embedded outreach to support the enrollment process.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care.
Enjoy making outbound calls and reaching out to patients, members, and customers
Outreach to patients to schedule appointments for preventative health screenings
Assist members and patients with benefits and insurance information
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.
Review and follow up on inbound requests from outreach campaigns.
Utilize prospecting techniques to outreach patients in a personalized way.
Educate patients on the importance of receiving ordered services in-home.
Sprinter Health focuses on dramatically expanding access to healthcare by reimagining the patient experience, delivered at home and powered by technology for scale. They have a rapidly growing team of visionary leaders who are passionate about increasing access to care, lowering healthcare costs, and improving outcomes for patients.
Proactively outreach to patients via phone to educate them on the care services available to them.
Meet or exceed performance targets defined as “completed first visits” on a daily basis.
Research and update patient information, leveraging internal and external data platforms, including EHRs and local market resources.
Strive Health strives to transform the broken kidney care system through early identification, engagement, and comprehensive coordinated care. They are an organization that embraces diversity and supports each other and is the destination for top talent in healthcare.
Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
Works as a team with the Case Manager to engage and manage a panel of SNP members
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
Handle inbound calls and chat boxes from our members regarding Sidecar Health’s products and services.
Provide excellent customer service in a timely and positive manner.
Build rapport and maintain positive relationships with existing members to understand their needs and ensure a memorable member experience.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible. Their team comes from diverse backgrounds and shares a desire to fix a broken system, making healthcare personalized, affordable, and transparent.
Conduct patient outreach using telephonic and other communication methods.
Accurately document patient communications, outreach activities, and relevant clinical information in the Electronic Health Record (EHR).
Educate patients on wellness, preventive care, and recommended screenings.
Lone Star Circle of Care (LSCC) strives for exceptional, equitable patient care that leads to healthier communities. They offer a friendly and fun environment for their employees.
Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism
Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.
Guiding them toward scheduling their care assessments.
Giving them the encouragement they need to take that next step.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.
Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Play an active role in patient registration and enrollment, including organizing community engagement and outbound calls to patients.
Engage with a panel of assigned patients to provide care navigation, appointment logistics, prescription drug support, lab support, referral coordination, care plan adherence, and resource sharing.
Participate in community events to support patient activation and trust-building, including relationship-building with key contacts, facilitating group education sessions, and liaising with community organizations.
Zócalo Health is a tech-driven healthcare provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared experiences. Founded in 2021, they are backed by leading healthcare and social impact investors, aiming to improve the lives of communities with culturally competent primary care, behavioral health, and social services.
Deliver effective and enthusiastic communication to encourage members to utilize Transcarent's services
Provide concierge level service and instill trust in our team
Transcarent is a health and care platform bringing medical, pharmacy, and point solutions together. They empower health consumers with more choice, access to higher-quality care, and lower costs for 21 million members across 1,700 employers and health plans.
Manage multiple channel interactions professionally and efficiently.
Effectively present products/services to providers with integrity, understanding, and accuracy.
Focus on provider retention through first call resolution and maintain positive relationships.
Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.
As the first point of contact, you'll assist patients and providers.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives and is committed to diversity, equity, and inclusion.
Answer a high volume of inbound calls; transfer and directs calls; provide exceptional customer service via telephone
You’ll be responsible for all front office patient coordination; to be completed in a timely manner (e.g. appointment scheduling, transport coordination)
Communicate clearly and effectively (both oral and written) with patients, clients, Team Members, peers and Leadership.
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Deliver compassionate, personalized service to support each member’s unique therapy journey.
Manage new and ongoing therapy cases, ensuring accurate documentation and coordination.
Resolve inquiries quickly and accurately, using critical thinking to address complex issues.
VIVIO Health helps make data the basis for clinical decision-making. Their evidence-based, data-driven specialty drug management and cost control solution has improved healthcare outcomes and lowered costs for large, self-insured employers since 2016.
Collaborate with international teams and provider acquisition to move providers efficiently.
Partner with the team to pilot performance improvement projects and other projects as directed.
Call, text and email with Providers to encourage their activation and growth.
BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. Founded in 2013, they are the world’s largest online therapy service, providing affordable and convenient therapy across the globe.
Facilitate collaboration with health plan care managers
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers.
Build rapport with families, healthcare providers, and insurance companies in a compassionate manner.
Educate potential families about evaluation, treatment, and insurance processes.
Provide excellent customer service and expedite the process for families.
Cranial Technologies researches and treats plagiocephaly (commonly called flat head syndrome). They have treated over 300,000 babies with the DOC Band® and are the leader in pediatric cranial shaping orthoses. They also provide treatment with EarWell® to correct infant ear shapes without surgery, with 600,000+ successful outcomes.