Outreach Specialist at Elevance Health

Sacramento, California, United States

Elevance Health Logo
Not SpecifiedCompensation
Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • HS Diploma or equivalent
  • Minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background
  • Reside in the Sacramento, CA area (within reasonable commuting distance)
  • For Medicaid business units, obtain Community Health Worker Certification in the first 6 months of employment
  • Valid driver's license highly preferred
  • Reliable means of transportation
  • Ability to travel locally

Responsibilities

  • Serve as the initial and main point of field contact between the company and current and potential members
  • Respond to telephone, written, and in-person inquiries and initiate steps to assist regarding issues relating to content or interpretation of benefits, policies, and procedures
  • Provide timely and accurate resolution of inquiries and issues regarding benefits, services, and policies
  • Support and promote State Sponsored Programs through participation in community events
  • Represent State Sponsored Programs in community collaborations
  • Support member access to care through home visits, processing of reports, and distribution of collateral materials
  • Perform new member orientations
  • Provide superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up
  • Provide superior, professional, and courteous service to customers
  • Comprehend the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of health and social services available in the assigned region (with emphasis on community-based organizations), and work professionally with company's associates, community-based organizations, providers, and plan members

Skills

Key technologies and capabilities for this role

Customer ServiceCommunity OutreachMedicaidSCHIPBenefits AdministrationCultural CompetencyHome VisitsMember OrientationCommunity CollaborationEvent Participation

Questions & Answers

Common questions about this position

What is the salary range for the Outreach Specialist position?

For candidates working in person or virtually in California, the salary range for this position is $23.19/hr to $34.78/hr.

Is this a remote position, or what are the location requirements?

This is a field-based role requiring candidates to reside in the Sacramento, CA area, with primary work in the field traveling to client sites and occasional office attendance. Candidates not within a reasonable commuting distance from the posting location will not be considered unless an accommodation is granted.

What are the minimum requirements for the Outreach Specialist role?

The minimum requirements are a HS Diploma or equivalent and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.

What preferred skills or experiences are highlighted for this position?

Preferred skills include understanding of managed care principles and publicly financed health insurance like Medicaid and SCHIP, relationships with the community, a valid driver's license, reliable transportation, ability to travel locally, and for Medicaid units, obtaining a Community Health Worker Certification within the first 6 months.

What makes a strong candidate for the Outreach Specialist role?

Strong candidates will have customer service experience, comprehension of cultural and linguistic needs of Medicaid and SCHIP populations, knowledge of local health and social services especially from community-based organizations, and the ability to travel locally with a valid driver's license and reliable transportation.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

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