Sharecare

Family Health Advocate - Remote

RemoteFull timePosted 6 days ago
Apply on Sharecare →

Sign into see who you know at Sharecare.

Job Description:Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com. Start date: September 14, 2026 (new hires must be able to start on this day)Shift: Monday – Friday, must be open to any 8-hour shift between the hours of 7am – 7pm CST. Exact shift will be assigned after training.Training: First 4 weeks of employment from 8am – 4:30pm CT.*Due to the structured training schedule, new hires cannot miss any days of training. Compensation: $22.00/hourJob Summary:The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families through personalized resource and referral facilitation, issue resolution and healthcare navigation. Utilizing motivational interviewing and guided approaches, the family health advocate will play a critical role in supporting members to achieve their health goals, reduce costs and optimize quality care.Essential Job Functions:Answer inquiries from members (via voice and chat) for the following:Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plansProvider search (PCP, specialty, and facility), focused on healthcare cost and quality, and present premier provider options, including but not limited to medical, dental, and vision plansSupport for spending accounts, pharmacy, and disability.Assistance with incentives and rewardsAid with ordering durable medical equipment (DME)Community resource searchMember preferences managementCoordinate issue resolution with providers, payers or 3rd parties for:Claims adjustmentsGrievances and appeals submissionsUtilization management intake or statusComplex pharmacy inquiriesComplex spending account inquiriesProvide proactive care guidance for various value-add opportunities:Guidance on closing care gaps (e.g., No PCP, discussing switching from low quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests due)Proactive benefits education for proceduresPreparing members for scheduled procedures/admissionsReferring members to available 3rd parties for care management and second opinion.Referring members to Clinical Advocates (N...