Member Care Coordinator – Remote

Are you passionate about helping people navigate their healthcare options? We are seeking a Member Care Coordinator to join our dedicated team. In this role, you will provide guidance to members regarding available benefits, services, and programs, while assisting with care coordination to ensure their healthcare needs are met efficiently and effectively.

Key Responsibilities:
Conduct outreach calls to educate members on available healthcare benefits, services, and programs.
Complete health needs assessments and refer members to relevant health management programs.
Identify gaps in care and proactively assist members in accessing necessary medical services, including provider appointments.
Manage system work queues to assess member eligibility, review prior case activity, and coordinate outreach efforts.
Assist with research and resolution of inquiries related to healthcare processes, incentives, and program participation.
Support administrative tasks such as processing Health Risk Assessments and managing incoming faxes.
Work independently in a remote-first environment while collaborating with a fully developed support team.
Qualifications & Skills:
Education: Associate’s degree in education, communication, healthcare, or a related field OR equivalent work experience.
Experience: Minimum of 2 years in a customer service or healthcare support role.
Ability to work independently with minimal supervision while contributing to a team environment.
Strong problem-solving, decision-making, and organizational skills.
Effective time management with the ability to handle multiple priorities.
Excellent oral and written communication skills.
Familiarity with medical terminology and experience in a healthcare setting preferred.
Digital literacy assessment required.
Why Join Us?
This is a meaningful opportunity for individuals with experience in customer service, medical office settings, or assisting the senior population. If you are self-motivated, detail-oriented, and passionate about healthcare coordination, we encourage you to apply and become part of a team that makes a difference!

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.