Anthem, Inc. Health Program Representative I in Seven Hills, Ohio
SHIFT: Day Job
Health Program Representative I
Hours: Monday-Friday 8:00am-5:00pm
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health care companies and a Fortune Top 50 Company.
The Health Program Representative I is responsible for providing initial contact between distinct Care 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. The Health Program Representative I 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 participate in the Care 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. • Initiate referrals and manages consults from clinicians for participants registered in Care Management. • Gathers information from hospitals, health plans, physicians, patients, vendors, and other referral sources. • Contact physician offices to obtain demographic information or related data as needed
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.
Requires HS diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education and experience, which would provide an equivalent background.
Computer/keyboarding proficiency and the ability to follow defined policies and protocols required. Knowledge of company products, services and benefits preferred.
Preferred: Medical/Healthcare experience, Medical assistant, Nursing assistant, beginner to intermediate knowledge of technology, computers EMR systems, medical terminology and the Word suite.
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. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2020 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.