Health Program Representative

Elevance Health

Health Program Representative enrolling and engaging members in Elevance Health’s Care Management programs. Handling calls, referrals and member information while supporting healthcare access.

Posted 8/25/2026full-timeRichmond • Maryland, Ohio, Virginia • 🇺🇸 United StatesJunior💰 $16 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong verbal and written communication skills while effectively managing member inquiries and engagement in Care Management programs. Proficient in multitasking and utilizing digital tools to gather and record member information accurately.

Highest-signal resume keywords

Customer Service ExperienceTelesales ExperienceComputer/Keyboarding ProficiencyDigital Tools ProficiencyAttention to Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data GatheringCall ManagementReferral InitiationInformation RecordingEngagement Techniques

Soft Skills

EmpathyCritical ThinkingProblem-SolvingPersistenceAttention to Detail

Tools & Technologies

Call ScriptsElectronic QueuesFacsimilesText CommunicationDigital Platforms

Certifications & Qualifications

COVID-19 VaccinationInfluenza Vaccination

Industry Keywords

Care ManagementMember EngagementHealth PlansPatient InteractionClinical Staff Coordination

About the role

Key responsibilities & impact

Provide initial contact between Care Management programs and identified members
Handle inbound and outbound enrollment and engagement calls under direct supervision
Gather and record member information by telephone according to policies and procedures
Encourage members to participate in Care Management programs by explaining features, value and available services
Record call details and use call scripts as required by clients
Direct member inquiries to appropriate clinical staff
Initiate referrals and manage clinician consults for Care Management participants
Gather information from hospitals, health plans, physicians, patients, vendors and referral sources
Contact physician offices to obtain demographic or related data
Handle calls, texts, facsimiles and electronic queues while taking notes and speaking with customers
Work a structured schedule with occasional overtime or flexibility based on business needs
Perform other duties as assigned

Requirements

What you’ll need

HS diploma or equivalent
Minimum of 6 months experience in telesales or customer service, or an equivalent combination of education and experience
Computer/keyboarding proficiency strongly preferred
Knowledge of company products, services and benefits preferred
Ability to work Monday–Friday, 9 AM–5:30 PM EST
Ability to multitask while handling calls, texts, facsimiles and electronic queues
Proficiency with digital tools and platforms
Strong verbal and written communication skills
Attention to detail, critical thinking and problem-solving skills
Empathy and persistence in resolving caller issues
Ability to maintain focus during extended periods of sitting and work in a fast-paced, high-pressure environment
Ability to work from the office as necessary
New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza unless an acceptable explanation is provided

Benefits

Comp & perks

A career path with opportunity for growth
Tuition reimbursement for obtaining an Associate’s or Bachelor’s degree or further education
Affordable health insurance, dental, vision and basic life insurance
401(k) match
Paid Time Off
Holiday pay
Annual incentive bonus
Annual increases based on performance
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
Short- and long-term disability benefits
Wellness programs
Financial education resources