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Posted: Monday, February 5, 2018 12:04 PM

/Your Talent. Our Vision./At Anthem, Inc., it s a powerful combination, and the foundation upon which we re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
The Outreach Specialist Senior position is responsible for serving as the initial and main point of field contact between the company and the current and potential members. Primary duties may include, but are not limited to:
* Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
* Researches and resolves complex customer and business issues. Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
* Supports and promotes State Sponsored Programs through participation in community events. Represents State Sponsored Programs in community collaborations.
* Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
* Performs new member orientations.
* Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
* Participates in promotional activities.
* Provides superior, professional, and courteous service to customers.
* Organizes daily work without significant guidance.
* Collaborates with team members to provide superior customer services.
* Supports Health Management Programs.
* Conducts research to assist customers with inquiries or issues.
* Actively identifies and pursues opportunities for team involvement.
* Trains CRC associates.
* Provides leadership in the development and implementation of the Outreach Program and work plans.
* Represents department with key internal and external stake holders and targeted community partners.
* Mentors and coaches Outreach staff.
* Generates management reports.
* Requires a HS Diploma
* Must live in South Carolina and be willing to travel 90% of the work week from Midlands to Peedee Regions (14 counties)
* Must have valid Driver's License
* 4 years of customer service experience
* Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs; or any combination of education and experience, which would provide an equivalent background.
* Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations
* Ability to work professionally with the company's associates, community-based organizations, providers and plan members
*/ Anthem, Inc. is ranked as one of America s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran. /*
**Job** *Customer Service*
Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
**Title:** *Outreach Specialist Sr*
**Location:** *new york-White Plains*
**Requisition ID:** *PS1144*
Associated topics: americorps, community participating, community support, personalized support, program staff, resource specialist, supportive service, teacher, tutor, vocational support/training


• Location: Hudson Valley

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