Blue Cross & Blue Shield of Rhode Island · 11 hours ago
Health Advocate
Providence, RI
Full-time
Hybrid
Entry, Mid Level
$54K/yr - $71K/yr
2+ years expBlue Cross & Blue Shield of Rhode Island (BCBSRI) is dedicated to serving Rhode Islanders and improving their health and well-being. The Health Advocate role involves responding to member inquiries, promoting health management programs, and collaborating with clinical staff to ensure members receive the necessary support and resources.
Insurance
Responsibilities
Respond to member phone calls and conduct outreach calls to identified members; facilitate problem resolution through research. Refer call to appropriate resources in a timely manner
Promote health management programs and provide community resources available to members; utilize engagement skills and motivational interviewing techniques to enroll members in programs
Maintain supportive communication with the member via the member’s channel preference (phone, web, e-mail, mail); provide education, monitor and reporting compliance, identify gaps in care, and adjust the plan as needed
Consult with internal clinical staff as needed when assessment or gaps in care indicate increasing severity of the member’s condition requiring more intense monitoring and intervention
Consult with other clinical staff (dietician, behavioral health clinician, medical director) on an as needed basis
Participate in ongoing quality improvement initiatives and overall department efficiencies
Assist team with department initiatives and projects
Perform other duties as assigned
Qualification
Required
Associate's or Bachelor's degree in Business Management, Healthcare Administration, or Unrestricted Rhode Island LPN or LVN Nursing License; or an equivalent combination of education and experience
Two to four years' experience in a health-related position
Preferred
Engagement and sales skills necessary for enrolling members into health management programs
Persuasive skills required to negotiate, develop, influence, motivate, and move others through the stages of behavior change
Interpersonal skills in order to interact effectively with internal and external customers
Ability to research data, identify trends and recommend appropriate actions
Detail oriented
Ability to work successfully in a matrix environment
Demonstrated written and verbal communications skills
Ability to exercise sound judgment
Ability to establish and maintain strong working relationships with various stakeholders
Ability to organize work efficiently to meet established time and quality standards
Good organization skills
Good time management skills
Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc
Benefits
Flexible work arrangements that include remote and hybrid opportunities
Paid time off
Tuition reimbursement
Assist with student-loan repayment
Health, dental, and vision insurance
Programs that support your mental health and well-being
Bonuses and investment plans
Additional paid time to volunteer
Company
Blue Cross & Blue Shield of Rhode Island
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Martha Wofford
President and CEO
James Joy
Chief Financial Officer - Retired
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