The Care Coordinator supports the general case management process by managing member outreach, triaging needs, and coordinating healthcare services. They act as a key contact for internal and external stakeholders while performing essential clerical and data entry tasks.
Point32Health
10 Remote Job Openings at Point32Health
Coordinates care management activities including member outreach, case assignment, and triage of member needs. Provides education to members and caregivers while ensuring timely coordination of healthcare services and appointments.
Care Manager - Bilingual preferred (Mandarin/Cantonese, Spanish a plus)
Point32Health
·
Full Time
·
8 days ago
Point32Health
The Care Manager ensures members receive timely care management, including transitions of care, complex case management, and chronic condition interventions. They collaborate with members, caregivers, and providers to develop and implement member-specific plans of care to improve health outcomes.
The Care Coordinator supports the general case management process by conducting member outreach, triaging needs, and coordinating healthcare services. They also perform general office duties, data entry into specialized platforms, and support clinical quality initiatives.
The Analyst tracks and analyzes federal legislation and regulations to determine their impact on the organization's business operations. They collaborate with internal stakeholders and external federal entities to develop policy positions and advance organizational priorities.
Handle inbound calls to assist members with health insurance benefits, claims, and eligibility while navigating the healthcare system. Act as a member champion to resolve issues internally across departments and externally with providers and brokers.
The Director oversees the success of Medicare Advantage and Supplement product lines, managing P&L, membership growth, and regulatory compliance. They lead the development of multi-year market strategies and coordinate with cross-functional teams to implement product designs and expansion opportunities.
Lead the design and maintenance of the Disaster Recovery framework, plans, and standards to ensure organizational resilience. Coordinate DR testing, track remediation of gaps, and report readiness maturity to leadership.
The Senior Training Specialist assists in the needs assessment, design, development, and implementation of training programs, focusing on delivering technical and service skills training for new and experienced staff, particularly in Appeals and Grievances topics. This role also involves creating engaging learning environments, collaborating with SMEs, mentoring peers, leading special projects, and handling complex training issues.
The Member Services Advocate provides exceptional customer service by addressing inquiries and resolving issues related to healthcare. They act as a member champion, collaborating with various departments and external parties to ensure a positive member experience.