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Member Engagement Specialist - Complex Care Support Specialist - R-5742_9-4185

Cambia Health • Boise, ID • 3w ago

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2358025

Member Engagement Specialist - Seriously Ill Members

Work Remote if you reside within WA, OR, ID, UT

Outside these states will not qualify

Build a career with purpose. Join our

Cause

**to create a person-focused and economically sustainable health care system.

Who We Are Looking For:**

Every day, Cambia\'s dedicated team of Member Engagement Specialist are living our mission to make health care easier and lives better. The Member Engagement Specialist provides member outreach to remove barriers, assist and support education about benefits, preventative health screenings, and community resources as part of specific initiatives or care management programs during critical and complex health needs for our members.

Member Engagement Specialists encourages engagement in health-related activities and programs and provide appropriate referrals to case management and/or other internal or external services and resources. Provide excellent and caring services to all internal and external customers. All in service of making our members health journey easier.

Are you a person who can engage with members in their critical healthcare journey to meet unique needs? Can you evaluate and overcome challenges to achieve a positive outcome? This role may be the perfect fit for you!

What You Bring to Cambia:

Qualifications:

High School Diploma

1 year customer service such as call center, insurance, hospital or

provider medical office, Prior health plan Customer Service or equivalent combination or education with medical Preferred

CNA CMA certification preferred, but not required

Skills and Attributes:

Strong communication skills, with ability to interact with diverse

individuals on sensitive topics, and provide excellent customer service through courteous telephone etiquette, listening, and empathy.

General organization, data entry, and administrative skills, with

proficiency in Microsoft Office, Outlook, and Internet search, and ability to handle multiple tasks and prioritize workload.

Ability to work independently, prioritize work, meet deadlines, and

achieve operational standards, with creative problem-solving skills and ability to research and refer to others as needed.

Basic knowledge of medical terminology and familiarity with disease

and lifestyle topics, with ability to adapt to a fast-paced environment and learn, retain, and interpret new information.

Ability to make decisions and exercise good judgment in a complex

and rapidly changing environment, with ability to work under stress and pressure and respond to inquiries with tact and diplomacy.

Work in a team environment, demonstrating initiative in researching

and resolving issues along with prioritizing work to meet deadlines and achieve operational standards.

Exercise discretion on sensitive and confidential matters, with

ability to communicate effectively orally and in writing.

What You Will Do at Cambia:

Outreach and Engagement: Initiates outbound calls or emails to

members for Care Management Programs, utilizing motivational interviewing to encourage engagement in health-related activities.

Education and Support: Educates members on benefits, tools, and

resources to support preventive screenings, discharge and treatment plans, and adherence to nationally recognized guidelines.

Care Coordination: Collaborates with Care Managers to identify

member needs, referring to licensed clinical staff and resources as necessary to ensure comprehensive care.

Platform Management: Utilizes care management platforms to

record and track member interactions, ensuring accurate andup-to-date information.

Interdisciplinary Collaboration: Works with Care Managers and

licensed clinical staff to ensure seamless care coordination and support for members.

LI-remote

The starting hourly wage for the Member Engagement Specialist role is \$23.00-\$28.00/hour, depending on candidate\'s geographic location, certification and experience. Full pay range for the Member Engagement Specialist role is \$19.00-\$34.40 an hour.

The annual incentive payment target for this position is 5%.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we\'re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you

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