Full-Time

Health Program Representative I

Posted on 3/16/2025

Elevance Health

Elevance Health

10,001+ employees

Integrated health benefits and services provider

No salary listed

Entry, Junior

Company Historically Provides H1B Sponsorship

Indianapolis, IN, USA + 3 more

More locations: Richmond, VA, USA | Atlanta, GA, USA | Roanoke, VA, USA

Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Category
Customer Experience & Support
Customer Support
Required Skills
Customer Service
Requirements
  • HS diploma or the equivalent
  • Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.
Responsibilities
  • Gathers and records appropriate member information in accordance with policies and procedures via telephone.
  • Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
  • Records call details and utilize call scripts as needed based on client requirements.
  • Directs member inquiries to appropriate clinical staff.
  • Initiates referrals and manages consults from clinicians for participants registered in Care Management.
  • Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
  • Contacts physician offices to obtain demographic information or related data as needed.
Desired Qualifications
  • Computer/keyboarding proficiency strongly preferred.
  • Knowledge of company products, services and benefits preferred.
  • FEP experience preferred.

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Company Size

10,001+

Company Stage

IPO

Headquarters

Indianapolis, Indiana

Founded

1944

Simplify Jobs

Simplify's Take

What believers are saying

  • The home healthcare market is projected to reach $515.6 billion by 2027.
  • Telehealth expansion aligns with Elevance's digital health initiatives, offering significant growth potential.
  • Value-based care models support Elevance's focus on patient outcomes, enhancing competitive advantage.

What critics are saying

  • Integration of CareBridge may face operational challenges, affecting service delivery.
  • Departure of CFO John Gallina could lead to a gap in financial leadership.
  • Lawsuit against CMS over MA Star Ratings could result in financial penalties.

What makes Elevance Health unique

  • Elevance Health focuses on integrated whole health, setting it apart from traditional insurers.
  • The acquisition of CareBridge enhances Elevance's home health services, a growing market segment.
  • Elevance's digital platform supports a comprehensive approach to health, improving patient outcomes.

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Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Company News

MarketBeat
Mar 3rd, 2025
Marathon Asset Management Ltd Invests $83.78 Million in Elevance Health, Inc. (NYSE:ELV)

Marathon Asset Management Ltd invests $83.78 million in Elevance Health, Inc. (NYSE:ELV).

Bizjournals
Oct 21st, 2024
CareBridge sold to Elevance for $2.7B

Elevance Health (NYSE: ELV) announced its acquisition of CareBridge for $2.7 billion during its Oct. 17 earnings call. CareBridge, a Nashville-based company, will be integrated into Elevance's Carelon division. The deal aims to enhance Carelon's home health services. CareBridge, founded in 2019, posted $2.6 billion in revenue in 2023 and was ranked No. 1 on the Inc. 5000 list of fastest-growing companies.

Forbes
Oct 17th, 2024
Elevance Health Will Add To Carelon Portfolio With Carebridge Acquisition

Elevance Health has signed a deal to purchase Carebridge, a manager of home care and community-based services, the health insurer's chief executive said Thursday.

PR Newswire
Aug 5th, 2024
Arrive Ai Bolsters Its Team With 2 World-Class Additions

Former Elevance Health CFO John Gallina and former Carmel, Ind. Mayor Jim Brainard add international heft to company leadershipINDIANAPOLIS, Aug. 5, 2024 /PRNewswire/ -- Arrive AI, the inventor of the nation's first smart mailbox platform, today announced that John Gallina, former Executive Vice President and Chief Financial Officer of Elevance Health, and Jim Brainard, former mayor of Carmel, Ind., have joined the company. Gallina joined the board of directors and will chair the Audit Committee, and Brainard will lead the company's municipal partner development efforts. John Gallina. Jim Brainard

MedCity News
Jun 30th, 2024
Why Insurers Beat CMS In the MA Star Ratings Battle

Both SCAN and Elevance had sued CMS alleging the agency improperly calculated their Star Ratings for plan year 2024.

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