Member Advocate I
BC Forward

Member Advocate I

BC Forward is looking for Member Advocate I (Remote - CST)

Position Title: Member Advocate I (Remote - CST)

Location: 7990 Interstate 10, #300, San Antonio, TX 78230

Anticipated Start Date: 5/9

Expected Duration: 6 months

Job Type: Contract

Shift: 8am-5pm or 8:30am- 5:30pm or 9am-6pm

Pay Rate: $17.50/hr on W2.

Note: Need Prior healthcare Customer Service Experience, Bilingual - SPANISH and Preferred (Community Health Worker - CHW) Certification.

Job Description:

Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care.

The MA will open her email for complaint assignments, escalations., webortal and contact us request that require member outreach. The team works on TruCare daily assignments sent from STAR Plus Member Support Center and OMNI assignments from STAR Kids call center. The MA is required to validate (PCP/Specialist Search, community resources, scheduling appointments with PCP, referral and authorization education with members and providers. Once a monthly team huddle meetings, 1x1, and monthly meetings.

The MA expectations is to be on camera when trained on the job role, huddles, team meetings and 1x1. The metrics expectation once fully trained to work between 18-20 task per day (300-350) per month or higher depending on acquired speed

Required Skills/Experience:
3+ years of customer service experience in a healthcare environment
5-10% travel

Preferred Skills/ Experience:
Bilingual in Spanish preferred.
Medicare and/or Medicaid experience preferred.
Preferred CHW certification

Education Requirement: High school diploma or equivalent
Software Skills Required:

Skills Required: Microsoft Word 365, Excel, Outlook

Education/Experience: High school diploma or equivalent. 3+ years of customer service experience in a healthcare environment. Medicare and/or Medicaid experience preferred.

For Superior Health Plan - Bilingual in Spanish preferred.

* Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure.
* Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients.
* Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate.
* Serve as primary contact for Member advocacy groups, human services agencies and the State entities.
* Maintain confidentiality per HIPAA guidelines.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

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.

Interested candidates please send resume in Word format Please reference job code 221310 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
Speedway, IN (Onsite)

Job Type
Customer Service

Experience
Not Specified

Date Posted
04/15/2024