Job Description
Company : Highmark Health Job Description : JOB SUMMARY: This role is remote, in the Central PA. territory. Harrisburg, Carlisle, York, Mechanicsburg, Lancaster, State College etc. This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition strategies to steer the transition of members to AHN and community providers; thereby minimizing future member disruption. This position is responsible for educating members about how their insurance benefits work, the financial impact of healthcare choices, available provider/service options and the importance of getting the right care at the right time, in the right place. The incumbent will play a major role in driving change in member behavior and driving overall business outcomes from a cost of care perspective. ESSENTIAL RESPONSIBILITIES: Empower members to make informed decisions by evaluating the most appropriate type of provider for members' unique needs, assess which providers are in-network and ensure that the members are fully informed of the tools and resources available to transition to AHN or other community providers. Advocate for the member by providing assistance with transferring medical records, making prompt appointments with AHN or other community providers and providing assistance with resolving claim or billing issues.Educate members about access to comprehensiveclinical care and demonstrate the quality of care and advanced outcomes of partner network providers.Assist members in engaging medical care from higher quality, more cost effective providers closer to their homes.Create new and innovative opportunities for members to interact with patient-focused providers and experience the quality of care first hand for various specialties. Showcase the latest developments in quality of care and the results of investments from AHN and community partner providers. Demonstrate business acumen by partnering with, and developing proactive sales strateg
