Outreach Specialist at Elevance Health

Sacramento, California, United States

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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

Customer Service

Community Outreach

Medicaid

SCHIP

Benefits Administration

Cultural Competency

Home Visits

Member Orientation

Community Collaboration

Event Participation

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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