Care Guide Support Specialist

Blue Cross of Idaho is seeking a Support Specialist that provides outreach, support and care coordination for members identified for clinical programs. Complete administrative tasks to support operational tasks of clinical programs.

We are looking for a candidate with:

Experience: 4 years' administrative support within health insurance, healthcare, or health related industry

Education: Associates Degree in Healthcare related field; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

What a day may look like:

• Complete member outreach to educate members about the benefits of clinical program services with the goal for them to adopt or use the services.
• Identify members healthcare needs and provide intervention for members with care coordination needs.
• Respond to, triage, and process clinical program referrals.
• Coordinate incoming and outgoing correspondence.
• Reviewing customer eligibility and benefit structure for requested referrals or prior authorizations.
• Enter and maintain documentation of interactions with members, providers, or other stakeholders that meets legal, regulatory, and accreditation requirements.
• Manage and supports special programs within the department.
• Perform other duties and responsibilities as assigned.

As of the date of this posting, a good faith estimate of the current pay range is $26.12 to $36.58. The position is eligible for an annual incentive bonus (variable depending on company and employee performance.

The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.