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Description SHIFT: Day JobSCHEDULE: Full-timeAnthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.Responsible for responding to inbound inquiries for disease management or medication alert programs. Serves as a subject matter expert. Primary duties may include, but are not limited to: Provides information to members eligible for disease management or medication alert programs. Makes outbound attempts to program members to provide health information according to program standards. Receives or places calls to members who have failed to enroll with disease management to encourage their enrollment in the correct disease management program. Diffuses situations with members who are resistant to health coaching and/or disease management interventions. Provides consultation to department associates regarding methods/approaches to help members recognize and overcome barriers to improve their health. Assists with increasing participants motivational level by addressing barriers and assessing needs. Focuses on improving member health by promoting incremental behavior change leading to healthier outcomes. Conducts behavioral assessments to identify individual member knowledge, skills, and behavioral needs. May coordinate with others in the multi-disciplinary clinical team. May serve as mentor for orientation and training of new staff. Serves as resource expert to Health Educators and provides guidance about processes and systems, including assisting with complex calls, and complaints and other issues. Prepares and presents in-services to the Health Educator team. Qualifications Requires BA/BS in appropriate field of specialization; 4 years of related experience in direct care, health education, exercise instruction or patient education; certification or advanced certification and/or licensure appropriate to field of specialty required; or any combination of education and experience, which would provide an equivalent background. Prior experience in health coaching, disease management in a call center environment and/or patient education and behavior change techniques and strong understanding of disease management principles is preferred. MS preferred.
AnEqualOpportunityEmployer/Disability/VeteraREQNUMBER: PS43545
