System One
Job Title:
Onboarding Specialist
Location:
United States (EST or CST preferred)
Type:
Contract
Contractor Work Model:
Remote
ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.
Position Summary
The Onboarding Specialist is the primary contact for members as they transition to a new health plan
The Specialist contacts new members via telephonic outreach and identifies both the member’s existing healthcare services that will continue and new service requests
The Specialist works to ensure that member needs are addressed through liaising with internal providers and external healthcare providers
The Specialist also educates the member on health plan offerings and addresses members’ questions or concerns.
Essential Functions
Serves as the primary member contact and advocate until their care team is established, both through direct member outreach and inbound call support
Leverages internal and external resources (such as claims, referrals, and pharmacy data) to identify accurate, successful contact information for unreachable or hard-to-reach members
Documents members’ current healthcare services and new service requests
Schedules new members’ initial nurse intake visits
Utilizes established workflows and collaborates with internal and external stakeholders and healthcare providers
Provides clinical care to members via telehealth technologies (video, chat, etc.) for clinically appropriate care and care management services.
Required Experience
5+ years’ experience
1+ years’ experience working in outreach or in the community with individuals who have behavioral, medical, social, or interpersonal complexities impacting their lives
Experience working in a multi-cultural setting
Experience using motivational interviewing techniques in a professional setting
Desired Experience
Experience identifying unmet healthcare needs and escalating to the appropriate individual (preferred)
Experience with electronic medical record and care management systems (strongly preferred)
Education and Experience
Bachelor’s Degree or relevant experience in call center and/or Medicare/Medicaid plan
Knowledge, Skills and Abilities
Demonstrated understanding of the community served
Familiarity with data entry and querying databases to identify key information about members
Excellent communication skills, including the ability to convey information clearly telephonically and in a culturally sensitive manner
Strong interpersonal and customer relation skills, including active listening skills, dependability, and responsiveness
Compassionate, understanding, and patience
Motivates, empowers, inspires, and collaborates with members while effectively establishing boundaries by clarifying roles, expectations, and deliverables
Ability to develop and maintain positive working relationships with peers, supervisors, and other organizations
Ability to multitask and ensure all work is completed thoroughly and completely in a fast-paced environment with competing demands
Basic computer skills
Professional, comprehensive, clear documentation
Familiarity with Microsoft Office programs: Outlook, Calendar, Word
Willing to learn and utilize telehealth technologies (video, chat, etc.) when appropriate for a variety of clinical care and care management services.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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Onboarding Specialist
Location:
United States (EST or CST preferred)
Type:
Contract
Contractor Work Model:
Remote
ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.
Position Summary
The Onboarding Specialist is the primary contact for members as they transition to a new health plan
The Specialist contacts new members via telephonic outreach and identifies both the member’s existing healthcare services that will continue and new service requests
The Specialist works to ensure that member needs are addressed through liaising with internal providers and external healthcare providers
The Specialist also educates the member on health plan offerings and addresses members’ questions or concerns.
Essential Functions
Serves as the primary member contact and advocate until their care team is established, both through direct member outreach and inbound call support
Leverages internal and external resources (such as claims, referrals, and pharmacy data) to identify accurate, successful contact information for unreachable or hard-to-reach members
Documents members’ current healthcare services and new service requests
Schedules new members’ initial nurse intake visits
Utilizes established workflows and collaborates with internal and external stakeholders and healthcare providers
Provides clinical care to members via telehealth technologies (video, chat, etc.) for clinically appropriate care and care management services.
Required Experience
5+ years’ experience
1+ years’ experience working in outreach or in the community with individuals who have behavioral, medical, social, or interpersonal complexities impacting their lives
Experience working in a multi-cultural setting
Experience using motivational interviewing techniques in a professional setting
Desired Experience
Experience identifying unmet healthcare needs and escalating to the appropriate individual (preferred)
Experience with electronic medical record and care management systems (strongly preferred)
Education and Experience
Bachelor’s Degree or relevant experience in call center and/or Medicare/Medicaid plan
Knowledge, Skills and Abilities
Demonstrated understanding of the community served
Familiarity with data entry and querying databases to identify key information about members
Excellent communication skills, including the ability to convey information clearly telephonically and in a culturally sensitive manner
Strong interpersonal and customer relation skills, including active listening skills, dependability, and responsiveness
Compassionate, understanding, and patience
Motivates, empowers, inspires, and collaborates with members while effectively establishing boundaries by clarifying roles, expectations, and deliverables
Ability to develop and maintain positive working relationships with peers, supervisors, and other organizations
Ability to multitask and ensure all work is completed thoroughly and completely in a fast-paced environment with competing demands
Basic computer skills
Professional, comprehensive, clear documentation
Familiarity with Microsoft Office programs: Outlook, Calendar, Word
Willing to learn and utilize telehealth technologies (video, chat, etc.) when appropriate for a variety of clinical care and care management services.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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