Position Title: Care Navigator
Work Location: remote–TX
Assignment Duration: 6 months
Work Arrangement: Remote

Position Summary:
These positions work in a Call Center setting where the contractors are on a phone queue.
Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Key Responsibilities:
• Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Qualification & Experience:
Education/Certification High School Diploma
Preferred BUT NOT Required: BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech
Licensure n/a Preferred:
Years Experience: Over 5 years of experience working directly with the ABD (Aged, Blind, and Disabled) population in call center environments, Medicaid programs, and Managed Care Organizations (MCOs). Skilled in supporting individuals with disabilities and vulnerable populations managing chronic or complex health conditions. Demonstrated expertise in providing care coordination for children, young adults, and other high-need groups within the past three of the last five years.
Must haves: good attendance, call center background; worked with MCO insurance
Nice to haves: background in Service Coordination, and call center experience.
Disqualifiers: no call center experience
Performance indicators:
Software Skills: Will be using various software on the job: Microsoft Office Suite, Avaya, Zoom, Skype
• Top 3 must-have hard skills
• Level of experience with each
• Stack-ranked by importance
• Candidate Review & Selection 1 Customer service, call center experience
2 Computer Knowledge
3 Insurance, MCO background.

 

Candidate Requirements
High Schook Diploma			Preferred BUT NOT Required: BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech
n/a			Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators	Years Experience:  Over 5 years of experience working directly with the ABD (Aged, Blind, and Disabled) population in call center environments, Medicaid programs, and Managed Care Organizations (MCOs). Skilled in supporting individuals with disabilities and vulnerable populations managing chronic or complex health conditions. Demonstrated expertise in providing care coordination for children, young adults, and other high-need groups within the past three of the last five years.   Must haves:  good attendance, call center background; worked with MCO insurance   Nice to haves: background in Service Coordination, and call center experience.   Disqualifiers: no call center experience   Performance indicators: Software Skills: Will be using various software on the job: Microsoft Office Suite, Avaya, Zoom, Skype
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Customer service, call center experience
	2	Computer Knowledge
	3	Insurance, MCO background.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 25.00/hr.