Health Advocate

Associate

• Guide Members with Clarity & Confidence: Answer incoming calls and emails, providing clear explanations about benefits, costs, and provider options.
• Be a Trusted Advisor: Help members compare benefits during open enrollment, life changes, and coverage updates.
• Solve Problems with Compassion: Assist members in resolving benefit-related issues, researching plan details.
• Coordinate & Follow Up: Place outbound calls for issues requiring further research.
• Master the Details: Stay informed on commercial plans, Medicare coordination of benefits.

Seasonal Benefits Associate

Patient Navigator

• Provide live patient support for appointment scheduling and care coordination
• Offer basic clinical education and appointment preparation guidance
• Transfer calls requiring licensed clinical support to the 24/7 nurse line or appropriate internal teams
• Follow up with patients, providers, and partners to ensure services are accessed as planned
• Track patient needs through to resolution
• Identify and research barriers impacting care access
• Prioritize open cases to ensure timely support
• Monitor trends in patient issues and escalate patterns to your supervisor to improve service delivery
• Work cooperatively with internal teams to meet service goals
• Escalate complex or out-of-scope situations appropriately
• Support departmental improvement initiatives
• Assist with user acceptance testing for system updates and enhancements
• Mentor new team members as needed

Consultant

• Guide people to better health and truly improve their lives.
• Personalize and simplify the healthcare experience for members.

Advocate

• Receive calls from members in regards to various healthcare issues (e.g., infertility, disease, medication, etc.) and determine best course of action/s to assist the members while adhering to established policies, procedures, and key performance indicators (KPIs)
• Build relationships with members in order to collaborate and develop plans of action by going above and beyond members’ initial requests
• Assist and educate members in understanding their medical conditions, associated health testing, test result interpretation, and health options available to them
• Provide members choices in medical care providers and services based on the members’ clinical needs, geographic locations and available benefit offerings
• Research providers through credentialing, education checks and affiliations with notable medical centers within the member’s plan
• Facilitate communication among members, treating physicians, and insurance carriers
• Document cases in the department’s case management system using approved processes and procedures
• Keep up-to-date on patient care procedures which include diagnosis, pre-certification, prior authorization, pre-service and post-service denials
• Continuously stay up to date on various health issues and medical procedures necessary to offer top of the line feedback to members
• Mentor new team members

Personal Health Advocate

Health Coach

• Deliver high-impact telephonic and virtual coaching sessions using motivational interviewing and evidence-based strategies
• Help members translate clinical recommendations into realistic, sustainable daily actions
• Navigate behavioral health dynamics such as anxiety, avoidance, low motivation, and emotional overwhelm that directly impact follow-through
• Support lifestyle changes related to chronic conditions, mental health, and overall wellness

Population Health Nurse Coach

Human Resources

• Helping Members Understand Their Benefits
• Answer incoming calls and respond to benefit questions with clarity and compassion
• Explain medical, dental, vision, pharmacy, life, disability, FSAs/HSAs, and other plans in easy-to-understand terms
• Guiding Open Enrollment & Life Event Decisions
• Support members as they choose benefits during open enrollment, as new hires, or when their life circumstances change
• Compare and contrast plan options so members feel confident in their selections
• Providing Expert Navigation Across Coverage Types
• Discuss Marketplace/exchange plans, COBRA, Medicare, and individual plans
• Help members understand costs, coverage, provider choices, and plan rules
• Research benefit concerns thoroughly and follow through until resolved
• Document all cases accurately while maintaining strict confidentiality
• Ensure compliance with HIPAA, COBRA, ACA, and all federal regulations
• Build trust quickly over the phone. Provide objective, empathetic guidance—no sales, no quotas, just real support

Evening Benefits Specialist

Full-stack Engineer

• Design, build, and maintain RESTful APIs using C#, .NET, and ASP.NET Core
• Develop scalable, secure backend services and integration solutions
• Contribute to front-end development using React and modern SPA frameworks
• Design and optimize SQL Server queries, stored procedures, and database performance
• Build and support CI/CD pipelines using Azure DevOps
• Enhance automated build, test, and deployment processes across environments
• Ensure application performance, reliability, scalability, and maintainability
• Utilize tools such as New Relic and Veracode for monitoring and code security
• Collaborate with cross-functional teams in an Agile/Scrum environment
• Participate in code reviews, testing, troubleshooting, and production support