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Health Program Representative I

Location: Miami, FL
JobFamily: Customer Service
Req #: PS73744
Date Posted: May 12, 2022

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Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

Primary duties may include, but are not limited to:

  • Gathers and records appropriate member information in accordance with policies and procedures via telephone.
  • Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
  • Records call details and utilize call scripts as needed based on client requirements.
  • Directs member inquiries to appropriate clinical staff.
  • Initiates referrals and manages consults from clinicians for participants registered in Care Management.
  • Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
  • Contacts physician offices to obtain demographic information or related data as needed.
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Qualifications

Minimum Requirements:

  • Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

  • Computer/keyboarding proficiency strongly preferred.
  • Knowledge of company products, services and benefits preferred.
  • Bilingual preferred 


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.