Program Associate - Various, United States - Fidelis Care

Description

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: The Team Associate will be responsible for supporting the department by coordinating functions and completing administrative, telephonic and clerical duties as assigned.Assign new participants to the Service Coordination team following Centene policies and procedures
Maintain appropriate records, files, and documentation. Distribute emails and faxes to providers
Enter new and modifications to authorizations into systems
Perform tasks necessary to promote participant compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
Screen for eligibility and benefits. Screen members by priority for assessment and refer to appropriate team following established workflows
Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produce and mail routine letters and program educational materials
Provide support through inbound and outbound calls. Triage, adjust, or escalate requests to management

Education/Experience: High School Diploma or equivalent. Minimum experience: 1 year. Previous experience within the healthcare insurance industry with provider relations preferred

The salary range for NY is: $ per hour

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.