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Professional Management Enterprises
Indiana, PA | Full Time
$32k-39k (estimate)
3 Weeks Ago
Care Engagement Specialist 1 (119554)
$32k-39k (estimate)
Full Time | Business Services 3 Weeks Ago
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Professional Management Enterprises is Hiring a Care Engagement Specialist 1 (119554) Near Indiana, PA

Care Engagement Specialist to be responsible for supporting the organization’s goals of obtaining health needs screenings, scheduling preventive service appointments, and educating members on plan benefits and services. Provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care. MUST reside in Indiana. Schedule: Mon-Fri 9am-6pm Remote
Job Responsibilities:
  • Make outbound or receive inbound calls from members to schedule doctor appointments, assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits.
  • Influence members to take advantage of additional benefits.
  • Educate members on utilization of Emergency Departments in non-emergent conditions.
  • Identify and overcome barriers for members to complete needed health screenings, obtain needed services or make payments to secure enhanced benefits.
  • Review each member profile prior to outreach to identify areas of opportunity.
  • Participate in continuous quality improvement initiatives to ensure department and company goals are met.
  • Review and analyze data for call reports to make adjustments as needed.
  • Act as a secondary resource for the Member Services or Provider Services call centers.
Education/Experience: High School diploma or equivalent and 0-2 years of sales experience in a call center or other high-pressure sales environment. Bilingual in Spanish and English preferred.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$32k-39k (estimate)

POST DATE

05/23/2024

EXPIRATION DATE

07/22/2024

WEBSITE

pme-indy.com

HEADQUARTERS

INDIANAPOLIS, IN

SIZE

200 - 500

FOUNDED

2005

CEO

HASKELL PORTEE

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About Professional Management Enterprises

PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services w...ith our flexibility and robust performance. More
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