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Care Management Support Coordinator II

BCforward Boynton, GA (Onsite) Contractor
Care Management Support Coordinator II

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

Job Title: Care Management Support Coordinator II

Locations: Remote

Target Start Date: 28 April 2025

Expected Duration: 6 Months

Pay Rate $24.00/hr. on W2

Position Purpose:

The Care Management Support Coordinator II supports administrative care management activities, including performing outreach, answering inbound calls, and scheduling services. This position serves as a point of contact for members, providers, and staff to resolve issues and document member records in accordance with state and regulatory guidelines.

Education & Experience Requirements:

  • Education:
    • High School diploma or GED required.
  • Experience:
    • 1-2 years of related experience preferred, particularly in a call center, medical insurance, or customer service setting.
Key Responsibilities:

  • Member Outreach & Support:
    • Provide outreach to members via phone to assist with care plan next steps, health plan/community resources, and scheduling-related questions.
    • Educate members and providers regarding the care process and ongoing educational needs.
    • Assist members in connecting with additional health plan and community resources to ensure they are receiving comprehensive, high-quality care.
  • Documentation & Records Management:
    • Document and maintain non-clinical member records, ensuring compliance with state and regulatory requirements.
    • Provide members' information to providers as needed to facilitate care.
  • Service Coordination:
    • Assist members with understanding their care plan procedures and protocols.
    • Support member onboarding by sending welcome letters and educational materials to facilitate a successful member-provider relationship.
  • Health Plan & Community Resource Knowledge:
    • Maintain knowledge of available benefits and local resources, making appropriate referrals to address Social Determinants of Health (SDOH) needs.
  • Administrative Duties:
    • Perform various administrative tasks, such as coordinating scheduling for peer-to-peer authorizations and handling member/provider inquiries efficiently.
  • Other Duties:
    • Complete other tasks as assigned by management.
    • Comply with company policies and regulatory standards.
Work Environment & Schedule:

  • Work Location:
    • Nationally sourced (Remote)
  • Work Hours (EST):
    • 8:00 AM - 5:00 PM (Opener)
    • 10:00 AM - 7:00 PM (Mid)
    • 11:00 AM - 8:00 PM (Closer)
Preferred Skills and Experience:

  • Must-Have Skills:
    • Call center experience
    • Medical insurance experience
    • Strong customer service skills
    • Excellent communication and problem-solving abilities
    • Ability to adapt quickly to new processes and systems
  • Nice-to-Have Skills:
    • Trucare experience
    • Experience with phone systems

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 237116 when responding to this ad.


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Job Snapshot

Employee Type

Contractor

Location

Boynton, GA (Onsite)

Job Type

Health Care

Experience

Not Specified

Date Posted

04/01/2025

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