What are the responsibilities and job description for the Care Advocate position at HealthEZ?
Advocacy Specialist
The Opportunity
We are seeking a highly organized and member-focused Advocacy Specialist to join the Care Management team at HealthEZ. In this role, you will serve as a key advocate for members and clients, delivering high-touch, concierge-level support while ensuring efficient coordination across medical management services.
What You’ll Do
What We Expect from You
The Opportunity
We are seeking a highly organized and member-focused Advocacy Specialist to join the Care Management team at HealthEZ. In this role, you will serve as a key advocate for members and clients, delivering high-touch, concierge-level support while ensuring efficient coordination across medical management services.
What You’ll Do
- Deliver concierge-level service to members by providing personalized support and guidance throughout their healthcare experience
- Serve as a primary point of contact for members, ensuring exceptional customer service and timely resolution of inquiries
- Collaborate with vendors and members to address medical management requests and questions accurately and efficiently
- Initiate and maintain authorized case management files in compliance with internal processes
- Open, track, and monitor advocacy cases to ensure proper follow-up and resolution
- Partner with Medical Management staff to support process improvements and achieve departmental goals
- Provide administrative and operational support to case managers, the Clinical Director, and broader Medical Management team
- Monitor and manage shared inboxes (Intake, Medical Management, Advocacy) to ensure timely communication and task completion
- Assist in the development, implementation, and maintenance of medical management programs across the department
- Perform additional duties as assigned by leadership
What We Expect from You
- Associate’s degree or Medical Assistant certification preferred
- Knowledge of and adherence to HIPAA regulations
- 3 years of customer service or direct client-facing experience
- Strong knowledge of medical terminology with the ability to accurately interpret medical records
- Prior experience with care management processes, preferably within a health plan environment
- Excellent organizational, written, and verbal communication skills
- Preferred experience working with prescription benefits and pharmacy-related programs
- Demonstrated ability to deliver exceptional customer service