If you’re confident on the phone and you know how to connect with people fast, this role is built for you. You’ll reach members proactively, triage their needs, and steer them into the right care support programs so they don’t get lost in the shuffle.
About Medica
Medica is a nonprofit health plan serving more than a million members across multiple states. They focus on personalized healthcare experiences and strong provider partnerships to ensure members are genuinely cared for. Their culture centers on accountability, data-driven decisions, continuous learning, and collaboration.
Schedule
- Full-time
- Remote
- Primarily outbound calling with limited follow-up as needed
- Eligibility: primary home address must be in a Medica registered employer state: AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI
- Typical hiring salary range: $41,300 to $61,950 (full salary grade: $41,300 to $70,800)
What You’ll Do
- Conduct outbound outreach to identified members using a structured assessment process/protocol
- Triage and steer members to the most appropriate (non-clinical) care support programs
- Make real-time screening decisions to match members with the right intervention
- Maintain strong program knowledge across Medica’s continuum of Care Management programs
- Document while you engage, navigating systems accurately during live calls
- Manage phone system expectations, including login/logout accuracy and appropriate aux mode use
- Use quality monitoring tools and participate in monthly audit reviews
- Collaborate internally as needed and complete additional duties as assigned
- Maintain confidentiality and protect privileged information
What You Need
- High school diploma or an equivalent combination of education and work experience
- 2+ years of member-facing telephonic engagement experience or related experience
- Strong customer service and call handling skills, with confidence leading conversations
- Empathy and a non-judgmental communication style, with the ability to hear what’s unspoken
- Strong organization, accuracy, and attention to detail
- Ability to multitask: listen, guide behavior change, document, and navigate systems at the same time
- Strong analytical and problem-solving skills with the ability to work independently
- Advanced computer skills, including Microsoft Office, and comfort learning new systems quickly
- Experience in customer service, call center, managed care, or healthcare corporate environments preferred
- Experience collaborating with providers or health professionals preferred
Benefits
- Competitive medical, dental, and vision coverage
- PTO, paid holidays, and paid volunteer time off
- 401(k) contributions
- Caregiver services and additional total rewards offerings
This role is live right now, and eligibility is tied to specific states, so don’t wait until it disappears.
If you’re strong on the phones and you care about helping people land in the right program, this is a real way to make impact without needing a clinical license.
Happy Hunting,
~Two Chicks…