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 - EST/CST

Anticipated Start Date: 03/10

Expected Duration: 4 Months

Job Type: Contract with possible extension

Shift: 9am-6pm EST/8am-5pm CST

Pay Rate $20/hr. on W2

Need: Min 2 yrs of Healthcare/Managed Care Experience with High Volume Outbound calling.

Job Description:
Role Overview:
This position involves supporting the medical and psychological aspects of utilization and coordinated care. The candidate will be responsible for conducting outreach to assigned members, maintaining accurate records, and ensuring consistent communication with supervisors.
Key Responsibilities:

• Assist in tasks related to medical and psychological utilization and coordinated care.
• Conduct daily outreach via telephone to assigned members.
• Maintain and update an Excel spreadsheet with member assignments.
• Ensure consistent and timely communication with the supervisor.
• Accurately document each phone call in the Virtual Health system.

Performance Expectations & Metrics:

• Conduct 80-120 outbound calls per day to the Medicare population.
• Demonstrate a strong understanding of medical terminology.
• Maintain 100% compliance with assigned member outreach.
• Achieve an engagement rate of 80% or higher each month.
• Ensure an audit score of at least 90%.
• Complete outreach to 600 members per month (30 new members assigned daily).
• A dedicated, hardwired home internet connection is required to comply with HIPAA regulations (include this in the resume).
• Time off is not permitted within the first 90 days unless pre-approved during the interview process.

First-Day Overview:

• The candidate will begin with an IT onboarding session to ensure all equipment and systems are fully operational.
• Following IT setup, they will complete required training modules assigned by the supervisor.
• The first week will be dedicated to training, covering company policies, compliance requirements, and role-specific tasks.
• Once training is complete, hands-on instruction and role-specific job training will commence.

Required Skills & Experience:

2-3 years of experience in a managed care setting, medical office, or facility with demonstrated medical administration duties.

Strong knowledge of customer service, utilization review, or claims processing within a managed care environment.

Proficiency in operating office equipment, including personal computers.

Preferred Skills & Experience:

Strong communication skills.

Knowledge of medical terminology.

Excellent time management and organizational skills.

Education Requirements:

• Required: High school diploma or equivalent.
• Preferred: Additional relevant education or certifications.

Software Skills Required:

• Basic proficiency in Microsoft Office.

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.

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 235209 when responding to this ad.

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