Care Management Support Coordinator II

Care Management Support Coordinator II

BC Forward is looking for Care Management Support Coordinator II (Remote) in PST

Position Title: Care Management Support Coordinator II (Remote)

Locations: Remote - PST (Only from WA, OR , NV)
Anticipated Start Date: 06/16
Expected Duration: 5 Months
Job Type: Contract with possible extension
Shift: 8:00 AM - 5:00 PM PST (Pacific Standard Time). No California (CA) candidates due to additional requirements related to compensation, scheduling, and compliance.
Pay Rate $22hr. on W2
Need: At least 18 months of experience working with a health plan or in a healthcare-related industry and High Call Volume.
Interview Process: 1- Phone Screen , 2 - Video Interview.


Job Description:
Typical Day in the Role
Daily Schedule & Overtime Expectations:

• Standard work hours: 8 AM - 5 PM PST
  
• Overtime is not required or expected
  

Daily Workflow & Tasks:

• Assigned 30 new Medicare members daily for outreach
  
• Make one call attempt per day to the listed number for each member
  
  • If the number is invalid, also call the member's Primary Care Provider (PCP) to obtain a valid number
    
• If the member is reached:
  
  • Review Care Gaps
    
  • Complete a Health Risk Assessment (HRA) if needed
    
  • Assist with scheduling appointments
    
  • Ensure all questions or concerns are addressed
    
• If the member is not reached, make up to four additional call attempts at different times of the day
  
• Documentation: Accurate and timely note-taking is essential
  

Workload Expectations:

• 30 new members/day
  
• 125 members/week
  
• 600 members/month
  
• 80-100 calls/day
  
• Maintain a minimum audit score of 90%
  
• Meet 10-day turnaround time (TAT) for assigned work
  

Team Interaction & Work Environment:

• Virtual/remote work environment
  
• Collaborative and supportive team culture
  
  • Daily chat communications
    
  • Monthly online team meetings
    
  • Ongoing feedback and performance support
    

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Why This Role is Compelling
What Makes It Interesting:

• Directly serve Medicare members, primarily seniors or individuals with health conditions
  
• Make a meaningful impact by connecting members to critical health services
  

Team Culture:

• Supportive and inclusive environment
  
• Clear performance expectations with regular feedback
  
• Engaged leadership and strong peer collaboration
  

Career Growth:

• Great entry-level opportunity for candidates looking to break into healthcare
  
• Opportunities for career progression after 1 year of full-time employment
  

Competitive Market Comparison:

• Structured training and support
  
• Steady hours with no overtime
  
• Room to grow into other roles within the organization
  

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Candidate Requirements
Education:

• Required: High School diploma or GED (must be verifiable)
  
• Preferred: N/A
  

Licensure:

• Not required
  

Experience:

• Must have: At least 18 months of experience working with a health plan or in a healthcare-related industry
  

Disqualifiers:

• Candidates located in California will not be considered
  

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Key Performance Metrics

• Outreach to 30 new members per day, 125 per week, and 600 per month
  
• Maintain an audit score of 90% or better
  
• Meet 10-day turnaround time (TAT)
  
• Complete 80-100 calls per day
  
• Submit proper and timely documentation
  

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Top 3 Must-Have Hard Skills (Ranked by Importance)

Customer Service - Proven ability to interact professionally and empathetically with members

Microsoft Excel & Outlook - Strong proficiency in managing communication and tracking workflows

Medical Terminology - Familiarity with healthcare language, especially Medicare and care coordination terms

Position Purpose:
The Administrative Care Coordinator supports the care management team by performing member outreach, managing inbound inquiries, and coordinating services. This role serves as a key point of contact for members, providers, and internal staff to ensure timely resolution of issues and accurate documentation of interactions in compliance with state and regulatory requirements.
Key Responsibilities:

• Conduct outreach to members by phone to assist with care plan steps, provide education, address concerns, and connect members with available health plan or community resources.
  
• Support scheduling of services and ongoing communication with both members and providers to ensure a smooth care experience.
  
• Serve as the first point of contact for member and provider inquiries, offering support and clarification regarding procedures, benefits, and protocols.
  
• Facilitate member onboarding, including sending welcome letters, educational materials, and other correspondence to promote understanding and engagement.
  
• Maintain accurate, non-clinical documentation in member records according to compliance standards and provide updates to providers as necessary.
  
• Apply working knowledge of health plan operations, benefits, and local resources to identify and refer members to services that address Social Determinants of Health (SDOH).
  
• Ensure all communication and actions comply with internal policies, state regulations, and industry best practices.
  
• Perform other related administrative duties as assigned.
  

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Education & Experience:
Required:

• High School diploma or GED (must be verifiable)
  
• 1-2 years of related experience in a healthcare, insurance, or customer service setting
  

Preferred:

• Experience in outreach or care coordination within a managed care or health plan environment
  
• Familiarity with medical terminology and basic understanding of care management protocols
  

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 238631 when responding to this ad.

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