Researching and understanding healthcare system websites, databases, and reference materials in accordance with departmental and corporate policies
Researching and documenting requested information such as primary care physicians, dentists, specialists, eldercare services, nursing homes, and related resources
Identifying appropriate benefit plans and benefit offerings when applicable
Providing accurate, easy-to-understand research findings to nurses, advocates, and internal partners
Responding to member requests by delivering clear, specific resources and available options
Entering and maintaining accurate documentation within internal systems
Compiling research results in a user-friendly format to support member decision-making
Tracking cases and conducting timely follow-ups with members and providers
Ensuring all work complies with quality standards, internal procedures, and applicable federal and state regulations, including HIPAA and COBRA
Monitoring recurring research issues or trends and escalating concerns to leadership as appropriate

A high school diploma or GED required; associate degree in business, liberal arts, healthcare management, or a related field preferred
At least one year of healthcare-related experience preferred
Strong written and verbal communication skills, including professional phone etiquette
Excellent listening skills and the ability to understand and clarify requests
Strong problem-solving and issue-resolution abilities
Exceptional customer service skills and a commitment to quality
Solid organizational and multitasking skills, including consistent follow-up
Comfort using MS Word, Excel, and web-based research tools
The ability to work effectively in a collaborative, team-based environment
Bilingual skills (English/Spanish or other languages) may be required based on assignment

Research Associate

Key skills