Boston, MA, 02133, USA
8 hours ago
Onboarding Specialist
Job Title: Onboarding Specialist Location: United States(EST or CST preferred) Type: Contract Contractor Work Model: Remote Title: Onboarding Specialist ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services. Position Summary: + The Onboarding Specialist is the primary contact for members as they transition to a new health plan + The Specialist contacts new members via telephonic outreach and identifies both the member’s existing healthcare services that will continue and new service requests + The Specialist works to ensure that member needs are addressed through liaising with internal providers and external healthcare providers + The Specialist also educates the member on health plan offerings and addresses members’ questions or concerns. Essential Functions: + Serves as the primary member contact and advocate until their care team is established, both through direct member outreach and inbound call support + Leverages internal and external resources (such as claims, referrals, and pharmacy data) to identify accurate, successful contact information for unreachable or hard-to-reach members + Documents members’ current healthcare services and new service requests + Schedules new members’ initial nurse intake visits + Utilizes established workflows and collaborates with internal and external stakeholders and healthcare providers + Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services. Required Experience: + 5+ years’ experience + 1+ years’ experience working in outreach or in the community with individuals who have behavioral, medical, social, or interpersonal complexities impacting their lives + Experience working in a multi-cultural setting + Experience using motivational interviewing techniques in a professional setting Desired Experience: + Experience identifying unmet healthcare needs and escalating to the appropriate individual preferred + Experience with electronic medical record and care management systems strongly preferred Education and Experience: + Bachelor’s Degree or relevant experience in call center and/or Medicare/Medicaid plan Knowledge, Skills and Abilities: + Demonstrated understanding of the community served + Familiarity with data entry and querying databases to identify key information about members + Excellent communication skills, including the ability to convey information clearly telephonically and in a culturally sensitive manner + Strong interpersonal and customer relation skills, including active listening skills, dependability, and responsiveness + Compassionate, understanding, and patience + Motivates, empowers, inspires, and collaborates with members while effectively establishing boundaries by clarifying roles, expectations, and deliverables + Ability to develop and maintain positive working relationships with peers, supervisors, and other organizations + Ability to multitask and ensure all work is completed thoroughly and completely in a fast-paced environment with competing demands + Basic computer skills + Professional, comprehensive, clear documentation + Familiarity with Microsoft Office programs: Outlook, Calendar, Word + Willing to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services. System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. #M-PJ1 #LI-PJ1 #DI- Ref: #860-IT Cincinnati System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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