Anthem, Inc. Outreach Specialist in Los Angeles, California
SHIFT: Day Job
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 Outreach Specialist will serve as the initial and main point of field contact between Anthem and current and potential members.
Primary duties may include, but are not limited to:
Meets patient in clinic, facility or at home to help identify social determinants of health impacting patient’s health and general well-being.
Collaborates with social worker and/or care manager to develop action plan.
Develops trusting relationship with patients by providing support and advocacy to help achieve health goals.
Assists patients in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
Facilitates communication between all parties (patients, families, colleagues, and community-based organizations) as needed.
Documents interactions with patients and on behalf of patients in medical record.
Attends meetings as required.
Responsible for serving as the initial and main point of Field contact between the Company and current and potential members. Primary duties may include, but are not limited to: Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures. Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies. Supports and promotes State Sponsored Programs through participation in community events. Represents State Sponsored Programs in community collaborations. Supports member access to care through home visits, processing of reports, and distribution of collateral materials. Performs new member orientations. Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up. Provides superior, professional, and courteous service to customers. Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.
The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson).
If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAcquisition_VaccinationSupport@anthem.com.
Minimum of 1 year of customer service experience
Or any combination of education and experience that would provide an equivalent background
- Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred
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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.