Team Lead, Care Management Support Coordinator

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Conduct administrative care management tasks, which include member outreach, responding to inbound calls, and arranging services.

• Engage in phone outreach to members concerning next steps in their care plans, available community or health plan resources, scheduling inquiries, concerns, and ongoing education.

• Link members to health plan and community resources.

• Act as the primary support for inquiries, requests, and concerns from both members and providers.

• Clarify procedures and protocols related to care plans.

• Assist with member onboarding and administrative responsibilities, such as dispatching welcome letters, correspondence, and educational materials.

• Forward requests and inquiries to management as necessary.

• Document and uphold non-clinical member records in compliance with state and regulatory mandates.

• Aid People Leaders with weekly data reporting, constituting up to 50% of the role.

• Share findings and data with People Leaders and colleagues.

• Contribute to the training of new employees.

• Adhere to all policies and standards.

• Perform additional duties as assigned.

⛳️ Requirements

• High School diploma or GED is required (minimum).

• 2–4 years of relevant experience is preferred.

• Over 4 years of experience in processing healthcare or insurance authorizations and coordinating services for members with access to Medicaid Long-Term Services and Supports (LTSS).

• Excellent problem-solving, communication, organizational, and time management abilities.

• Capacity to adjust to evolving business needs with openness, flexibility, and professionalism.

• Must be adept at presenting findings clearly and concisely to a variety of stakeholders.

• Competent Excel skills, including data extraction, pivot table creation, and conditional formatting, or a willingness to enhance skills using Gen AI tools.

• Availability to work Monday–Friday, from 8:00 AM to 5:00 PM (EST).

🏝️ Benefits

• Health insurance coverage.

• 401K plan.

• Stock purchase plans available.

• Tuition reimbursement options.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office work schedules.

• Possible additional incentives.