Member Care Advocate

Remote

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Part TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree with 2 years of healthcare experience or 5 years of relevant healthcare experience. Proficiency with VoIP phone systems like CXOne, Google apps, Apple products, and CRM software is essential. The role requires the ability to remain seated for extended periods, possess good eye-hand coordination, and interact appropriately with various stakeholders.

Responsibilities

The Member Care Advocate will handle a high volume of inbound calls and chats, acting as a trusted guide to help members navigate their healthcare benefits. Responsibilities include researching and resolving complex cases, explaining benefits and coverage, facilitating access to care services, and educating members on their healthcare options. The advocate will utilize internal tools and technology to document interactions and represent the company's mission while driving member satisfaction.

Skills

Customer Support

Healthcare Navigation

Claims Processing

Benefits Explanation

Problem-Solving

Communication

Empathy

Case Management

Included Health

Healthcare advocacy and specialized care services

About Included Health

Included Health focuses on enhancing the healthcare experience for individuals who often face challenges in accessing quality care. The company provides a variety of services, including primary care, behavioral health, and virtual care, ensuring that members receive timely and appropriate treatment. Their model emphasizes 24/7 on-demand care with a diverse group of providers, allowing for personalized support tailored to complex health needs. Unlike many competitors, Included Health prioritizes underserved populations and partners with employers and consultants to deliver comprehensive healthcare solutions that not only improve health outcomes but also help reduce costs. The ultimate goal of Included Health is to make quality healthcare accessible and understandable for everyone, particularly those who have been overlooked by traditional healthcare systems.

San Francisco, CaliforniaHeadquarters

2020Year Founded

$337.5MTotal Funding

GROWTH_EQUITY_VCCompany Stage

HealthcareIndustries

51-200Employees

Benefits

Along with comprehensive medical, dental and vision plans; all employee spouses and children can access Included Health services at no cost. For time off, take it when you need it with our unaccrued discretionary time off for all exempt employees.

Risks

Competition from Teladoc and Amwell threatens market share.

Post-merger integration challenges could affect service delivery.

Regulatory scrutiny on telehealth may impact operational flexibility.

Differentiation

Included Health offers integrated primary and behavioral health services.

They provide 24/7 on-demand care with diverse providers.

Their data-driven approach enhances healthcare outcomes and reduces costs.

Upsides

Rising demand for telehealth boosts Included Health's virtual care services.

Employers investing in healthcare benefits expand Included Health's client base.

Value-based care models align with Included Health's focus on outcomes.

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