Care Management Support Coordinator II

Care Management Support Coordinator II

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

Position Title: Care Management Support Coordinator II (Remote)

Locations: Remote
Anticipated Start Date: 06/16
Expected Duration: 6 Months
Job Type: Contract with possible extension
Shift: Daily shifts (with potential overtime): Opener 8 AM-5 PM, Mid 10 AM-7 PM, Closer 11 AM-8 PM EST.
Pay Rate $22hr. on W2
Need: Required: Peer-to-peer scheduling, 1+ year call center & medical insurance experience, strong customer service & communication skills; Preferred: Trucare and call handling system experience.


Job Description:


Position Summary
We are seeking a detail-oriented and customer-focused Peer-to-Peer Scheduling Support Specialist to join our team. This role is essential in supporting our administrative care management processes by managing high call volumes, coordinating peer-to-peer schedules with internal medical providers, and ensuring timely authorization approvals for requested member services. The ideal candidate will demonstrate strong communication skills, problem-solving capabilities, and a background in medical insurance and call center environments.

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Key Responsibilities

• Perform outreach and respond to inbound calls to facilitate peer-to-peer scheduling with medical directors and clinical nursing staff.
  
• Serve as a key point of contact for members, providers, and internal teams to resolve scheduling and authorization-related issues.
  
• Navigate multiple systems simultaneously while managing a live call queue.
  
• Maintain and update member records in compliance with current state and regulatory guidelines.
  
• Collaborate with team members and leadership through various communication channels (Teams, email, chat).
  
• Work in a fast-paced, highly structured environment with clear processes and metrics.
  

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Story Behind the Need
Team & Business Context:

• This role supports a health plan or business unit within Centene focused on improving authorization processes and member services.
  
• The team culture is collaborative, fast-paced, and process-driven with high involvement from leadership.
  
• The position is being filled to address increased call volume and ensure service level goals are met.
  
• Additional hiring needs may arise later in the year (projected around September).
  

Team Purpose:

• To streamline the peer-to-peer scheduling process and improve turnaround time for service authorization approvals.
  

Motivation for the Role:

• Growing member service demands and the need to maintain regulatory compliance and efficiency standards.
  

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What to Expect Day-to-Day

• Schedule: Standard business hours with potential for overtime as needed.
  
• Environment: Fast-paced call center atmosphere; remote work may require a quiet environment and strong internet connectivity.
  
• Tools: Multi-system navigation, call handling software, Trucare (if applicable).
  

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What Makes This Role Compelling

• Opportunity to directly impact member satisfaction by facilitating timely medical service approvals.
  
• Exposure to healthcare operations, internal provider communications, and regulatory processes.
  
• Team-oriented environment that encourages collaboration, adaptability, and continuous learning.
  
• Competitive compensation and market positioning within the healthcare sector.
  
• Personal growth in communication, organizational efficiency, and technical system proficiency.
  

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Qualifications
Education:

• Required: High School Diploma or equivalent
  

Licensure:

• Not required
  

Experience:

• Required:
  
  • 1+ year of call center experience
    
  • 1+ year of medical insurance experience
    
  • Strong customer service and communication skills
    
• Preferred:
  
  • Experience with Trucare and call handling systems
    

Disqualifiers:

• Lack of a quiet workspace or inadequate internet quality
  
• Limited experience in customer service or healthcare
  

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Key Skills (Ranked by Importance)

Customer Service - Advanced

Medical Insurance Knowledge - Intermediate to Advanced

Communication Skills - Excellent written and verbal

Organizational Skills - Strong ability to multitask and adapt

Coachability - Open to feedback and process improvements

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.

Keywords:

[Administrative Experience. Presentation experience, organizing newsletters/content. And Experience working with executives highly preferred.]

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 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.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 238726 when responding to this ad.

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