Health Pro Consultant

Role Overview

• Provide extensive health care and case management training to ensure support for members
• Advocate for members requiring guidance across the health benefits environment
• Gather understanding of members’ needs and own resolution of requests
• Educate members on benefit programs provided by clients
• Deliver provider recommendations and connections to support informed care decisions
• Complete cost estimates and communicate out-of-pocket expectations
• Explain prescription options and identify cost-saving opportunities
• Connect members to company sponsored health and benefits programs
• Provide proactive updates via phone and digital channels
• Handle medical bill review results and translate findings into actionable guidance
• Draft appeals for healthcare services and coordinate records transfers

Requirements

• Minimum of 2 years of experience in a medical assistant/medical support role, or 3 years of experience working in a customer-facing role within the healthcare industry
• Ability to work effectively in a remote team environment
• Strong listening, reasoning, and analytical skills
• Exceptional verbal and written communication skills
• Strong ability and desire to learn continually in a changing environment
• Exceptional critical thinking and problem-solving skills
• Ability to efficiently organize work activities to meet deadlines
• Passion to provide the highest level of client satisfaction
• Proficiency in MS Office suite

Benefits

• A full Benefits Package, starting on your first day of employment
• Health, Dental, Vision, Life Insurance and more
• A 401k plan that includes a corporate match
• Paid Time Off 10 paid holidays per calendar year (8 fixed and 2 floating)
• 6 paid wellness days
• Career Development & Growth: Ongoing training, coaching, and development specific to the Health Pro role