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Managed Care Specialist

Managed Care Specialist

Workforce ConnectionsAnaheim, CA, United States
20 hours ago
Job type
  • Full-time
  • Temporary
Job description

Care Management Support Coordinator II

Location : Remote (Pacific Time Zone) California

Schedule : Monday–Friday, 8 : 00 AM – 5 : 00 PM PST (no overtime)

Duration : 3-month contract, with potential to extend or convert to full-time

Position Overview

The Care Management Support Coordinator provides administrative support for care management activities, serving as a key point of contact for members and providers. This role focuses on outbound member engagement, scheduling, and documentation to ensure seamless coordination of care and adherence to regulatory requirements.

Key Responsibilities

  • Conduct outbound and inbound calls to engage members in care management programs (average of 60–70 calls per day).
  • Support members with care plan next steps, scheduling, and access to community and health plan resources.
  • Serve as the first point of contact for member or provider inquiries and resolve issues professionally.
  • Assist with member onboarding by sending welcome materials and educational resources.
  • Maintain accurate, non-clinical member records in compliance with state and regulatory standards.
  • Identify and refer members to resources that address Social Determinants of Health (SDOH).
  • Perform other administrative and customer service duties as assigned.

Qualifications

  • Education : High school diploma or GED required.
  • Experience : 1–2 years in a managed care, medical office, or healthcare administrative setting.
  • Skills :
  • Proficiency with Microsoft Office Suite.
  • Strong customer service and communication abilities.
  • Proven experience handling a high volume of calls (60+ per day).
  • Preferred : Experience in a call center or remote customer service environment; background in managed care or insurance.

    • Ideal Candidate Profile

  • Motivated, detail-oriented, and comfortable in a fast-paced, metric-driven environment.
  • Strong problem-solving and multitasking skills.
  • Experience in healthcare customer service or enrollment preferred.
  • Backgrounds such as 911 dispatchers or Medicare / Medicaid brokerage representatives often perform well in this role.
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    Managed Care Specialist • Anaheim, CA, United States