Impress employers and recruiters.
Choose from hundreds of resume examples.

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Outreach Care Specialist Lead will be responsible for ensuring that appropriate member treatment plans are followed on the most complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

Responsibilities

• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs
• Assesses member compliance with medical treatment plans via telephone or through on-site visits
• Identifies barriers to plan compliance and coordinates resolutions
• Identifies opportunities that impact quality goals and recommends process improvements
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider
• Coordinates identification of and referral to local, state or federally funded programs
• Coaches members on ways to reduce health risks
• Prepares reports to document case and compliance updates
• Establishes and maintains relationships with agencies identified in appropriate contract
• Serves as a team lead
• Participates in cross-functional teams on projects, initiatives, and process improvement activities

Requirements

• Requires a H.S. diploma or equivalent and 5 years of related experience; or any combination of education and experience which would provide an equivalent background.

Skills

• Strong oral, written and interpersonal communication skills
• Problem-solving skills
• Facilitation skills
• Analytical skills

Location

• Virtual
• New York

Work Type

• Virtual
• Hybrid

Experience Level

• Non-Management Non-Exempt

Education Level

• H.S. diploma or equivalent
• Associates degree preferred
• BS/BA degree in a related field preferred

Salary/Compensations

• $19.42 - $24.28

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, vision
• Short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

About the Company

• Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
• We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
• At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
• Our values and behaviors are the root of our culture.
• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
• Elevance Health operates in a Hybrid Workforce Strategy.
• The health of our associates and communities is a top priority for Elevance Health.
• We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.

Equal Opportunity

• Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
• Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.
• Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
• Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.