Vacancy expired!
Health Program Representative I - Waukesha, WI - PS24712Location: United StatesNewRequisition #: PS27284Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.This is an exceptional opportunity to do innovative work that means more to you and those we serve.Health Program Rep IProvides initial contact between distinct Quality Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.Primary duties may include but are not limited to:
Gathers and records appropriate member information in accordance with policies and procedures via telephone.
Encourages members to practice in the Quality Management programs by providing information about the program, outlining program features/value and explaining available services.
Records call details and utilize call scripts as needed based on client requirements.
Directs member inquiries to appropriate clinical staff.
Initiates referrals to Care Management.
Gathers information from hospitals, health plans, physicians, patients, vendors, and other referral sources.
Contacts physician offices to obtain demographic information related data as needed.
Qualifications
Requires high school diploma or the equivalent.
6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background.
Computer/keyboarding proficiency .
Ability to follow defined policies and protocols required.
Knowledge of company products, services and benefits preferred.
Experience working in an inbound/outbound call center.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
