BusinessOperations - Care Engagement Specialist 1 - 210938

Job Title: BusinessOperations - Care Engagement Specialist 1 - 210938

Location: Remote - KY

Duration: Travel - 2 months

Pay Range: $20/hr $23/hr (W2)

Job ID: 371685

About BCforward

BCforward is a leading global IT consulting and workforce solutions firm providing services and support to Fortune 500 and government clients. Founded in 1998, BCforward has grown with our customers needs into a full-service business solutions provider. With delivery centers and offices across North America and India, we take pride in building long-term relationships and delivering excellence through innovation, collaboration, and integrity.

Job Description

We are seeking a Care Engagement Specialist to join our dynamic team. The ideal candidate will have strong experience in member outreach, call center operations, and benefit education and a proven ability to drive member engagement, schedule preventive services, and reduce barriers to care.

Responsibilities:

• Make outbound and receive inbound calls to schedule provider appointments and assist with Health Needs Screenings and payment activities for enhanced benefits eligibility.
• Educate members on plan benefits and enhanced services and recommend preferred providers to increase utilization of preventive care.
• Inform members on appropriate Emergency Department utilization for non-emergent conditions and explain impacts to benefits.
• Identify and address barriers to care to help members complete screenings, obtain services, or make required payments.
• Review member profiles prior to outreach to identify opportunities for additional or enhanced benefits.
• Participate in continuous quality improvement initiatives to achieve department and company goals.
• Analyze call report data and adjust outreach approaches to improve information gathering and outcomes.
• Serve as a secondary resource to Member Services and Provider Services call centers as needed.

Required Skills & Qualifications:

• High School diploma or equivalent with 3+ years of sales experience in a call center or high-pressure sales environment, or experience in member, provider, customer service, or call center.
• Alternatively, Bachelor's degree in healthcare, business administration, or related field with 1+ year of sales or call center experience, or experience in member, provider, or customer service.
• Proven ability to influence member behavior and drive engagement with preventive and enhanced benefits.
• Strong communication, active listening, and problem-solving skills in a fast-paced environment.

Preferred Skills:

• Bilingual proficiency in Spanish and English.
• Experience with healthcare member engagement, benefit education, and data-informed outreach.

Why BCforward?

At BCforward, we believe in advancing lives and careers. When you join our team, you gain access to:

• Competitive compensation and benefits
• Opportunities for growth with global clients
• A supportive, inclusive culture that values innovation and people
• Exposure to cutting-edge technologies and projects

About Our Commitment

BCforward is an equal opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Interested? Apply Now!

If this sounds like the right opportunity for you, please apply with your most recent resume or contact:

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