Research Analyst - Family Health Advocate

March 26

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Sharecare

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Sharecare is a comprehensive digital health platform designed to improve overall well-being. It provides tools and resources to help individuals manage various aspects of their health, such as physical, mental, and financial wellness. Sharecare offers personalized health navigation through its digital window, helping members track healthy habits, receive research-backed health tips, and access digital therapeutics across various conditions, including asthma and women's health. The platform integrates AI capabilities to empower users to manage their health data effectively. Partnering with CareLinx, Sharecare extends caregiving into homes, leveraging technology for data analytics and real-time coordination with clinical teams. Additionally, Sharecare collaborates with various organizations to enhance community health and well-being through innovative initiatives like the Community Well-Being Index. Its mission is to make healthcare resources more accessible and improve health outcomes while reducing care costs.

Engaging & activating millions through Q&A • Connecting health-seeking consumers with HCPs • Geo-targeted professional marketing to qualified patients • Online clinical decision support tools • Consumer-friendly multimedia health content

1001 - 5000 employees

Founded 2010

⚕️ Healthcare Insurance

☁️ SaaS

🧘 Wellness

💰 $425M Post-IPO Equity on 2021-07

📋 Description

• The role of the Family Health Advocate-Research Analyst is an exciting and integral role in providing meaningful advocacy support to members and their families through personalized resource and referral facilitation, issue resolution and healthcare navigation. • In this role you will provide research to support and resolve cases originating from our Family Health Advocates that require additional follow up. • Case follow - ups include but are not limited to the coordination of benefits, health claim appeals, re-submissions and/or re-coding, EOB reviews and researching provider availability and scheduling appointments. • Support follow up needs from Family Health Advocate calls for the following: Research and resolution to eligibility, claims issues, ID card issues, grievances/appeals, utilization management (UM) status including but not limited to medical, dental, and vision plans • Provider 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 plans • Support for spending accounts, pharmacy, and disability. Aid with ordering durable medical equipment (DME) Community resource search.

🎯 Requirements

• High school / GED diploma • 2-yr associates degree in healthcare/health sciences OR equivalent experience in healthcare, preferably with research and resolving benefits and claims, OR held one or more of the following positions: Health Guide/Advocate/Navigator, Claims Specialist/Processor, Medical Assistant, Medical Secretary/Clinic Manager, Medical Coder • Customer service experience within a healthcare contact center, provider office, or healthcare institution • Experience in successful resolution of high level/sensitive customer service issues.