Job Title: Medicare Care Management HRA Support Specialist
Location: Remote
Job Type: W2 Contract
Expected Hours per Week: 40
Schedule: Monday–Friday
Pay Range: $18–20 per hour
Position Description:
The Medicare Care Management HRA Support Specialist is responsible for outreaching to Cigna Healthcare Medicare customers to screen health, lifestyle, and care coordination needs while engaging them in internal Care Management programs. This role includes telephonic customer outreach to complete health screenings, educating customers on available benefits, coordinating with internal teams for timely hand-off to appropriate care teams, and maintaining documentation for regulatory review. The HRA Navigator must ensure all necessary information is collected, reviewed, and processed according to established policies.
Key Responsibilities:
- Complete telephonic HRA assessments or process incoming mailed/faxed HRAs.
- Assist with scheduling medical appointments.
- Connect customers to case management and community resources.
- Address gaps in care and educate customers on completing annual face-to-face provider visits.
- Educate customers on plan benefits.
- Route customer referrals to appropriate care management teams based on identified needs.
- Escalate customer concerns or issues appropriately.
- Maintain accurate documentation for regulatory review.
- Help customers identify barriers and navigate healthcare resources.
Required Qualifications:
- High school diploma required; college degree preferred or equivalent managed care experience.
- Strong written and verbal communication skills with a focus on high-quality customer service and healthcare coordination.
- Empathetic attitude with the ability to offer emotional support.
- Experience and knowledge of multiple aspects of the healthcare system.
- Excellent listening skills.
- Ability to help customers identify problems or barriers and navigate healthcare resources.
- Passion for the proper care and well-being of customers.
- Proficient with computer applications, including Outlook, Excel, Word, data input, and ability to utilize dual monitors.
- Strong interpersonal skills and ability to work well in a team environment.
- Ability to handle multiple tasks, set priorities, and develop action items.
- Detail-oriented.
Preferred Qualifications:
- Knowledge of regulatory requirements with emphasis on Medicare.
- 1+ years of experience in managed care or related work in Health Services with emphasis on population management.
- 1+ years of experience with processes involving telephone contact and process management.
- Experience completing HRAs, health screenings, or member assessments.
- Experience educating Medicare members on benefits, gaps in care, preventive services, or care management programs.
Top Skills:
- Medicare / Managed Care
- Health Risk Assessments (HRA)
- Telephonic Member Outreach
- Healthcare Customer Service
- Care Coordination
- Benefits Education
- Population Health
- Case Management Referrals
- Documentation & Data Entry
- Outlook / Excel / Word
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