Team Lead, Care Management Support Coordinator

Job Description:

• Perform administrative care management activities, including member outreach, answering inbound calls, and scheduling services
• Provide phone outreach to members regarding care plan next steps, community or health plan resources, scheduling questions, concerns, and ongoing education
• Connect members with health plan and community resources
• Serve as front-line support for member and provider inquiries, requests, and concerns
• Explain care plan procedures and protocols
• Support member onboarding and administrative duties, including sending welcome letters, correspondence, and educational materials
• Escalate requests and inquiries to management
• Document and maintain non-clinical member records in accordance with state and regulatory requirements
• Assist People Leaders with weekly data reporting, up to 50% of the role
• Present findings and data to People Leaders and peers
• Support training of new hires
• Comply with all policies and standards
• Perform other duties as assigned

Requirements:

• High School diploma or GED (minimum)
• 2–4 years of related experience
• 4+ years of experience processing healthcare or insurance authorizations and coordinating services for members with access to Medicaid Long-Term Services and Supports (LTSS)
• Strong problem-solving, communication, organizational, and time management skills
• Ability to adapt to changing business needs with openness, flexibility, and professionalism
• Must be comfortable presenting findings clearly and concisely to various stakeholders
• Moderately strong Excel skills, including data extraction, creating pivot tables, and conditional formatting, or curiosity to learn more with Gen AI tools
• Ability to work Monday–Friday, 8:00 AM–5:00 PM (EST)

Benefits:

• Health insurance
• 401K
• Stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules
• Potential additional forms of incentives