Healthcare Operations Specialist

Make an impact in healthcare while working from the comfort of home. If you're a customer-focused professional who enjoys helping others, thrives in a fast-paced environment, and is comfortable spending much of your day on the phone, this could be a great opportunity to join a leading health insurance organization and make a difference in members' lives.

Location: Remote*Pay Rate: $23/hrEmployment Type: ContractSchedule: Monday-Friday, 8:00 AM-5:00 PM

Why This Role Matters

As an Operations Specialist, you'll play a key role in connecting members with valuable healthcare programs and resources. Through outreach, education, and administrative support, you'll help improve member engagement, support positive health outcomes, and ensure operational excellence across multiple processes.

What You'll Do

• Make high-volume outbound calls to members to encourage participation in Case Management and Disease Management programs • Educate and guide members on available health programs, services, and resources • Create and manage cases, coordinate member services, and complete related administrative tasks • Process various transactions including inquiries, adjustments, correspondence, and suspended claims • Research and resolve complex system, workflow, and process issues while identifying opportunities for improvement • Perform quality reviews and communicate findings to support team development and service excellence • Support internal and external audits, projects, reporting, tracking, and data analysis efforts • Serve as a subject matter expert for policies, procedures, products, and operational processes • Provide cross-functional support to internal teams and stakeholders • Coordinate educational mailings and assist with documentation, referrals, and mailbox management as needed

What We're Looking For

• A current, up-to-date resume • High school diploma or GED • Minimum of 3 years of experience in a related field • Strong organizational and time management skills • Customer service experience with a strong phone presence • Experience making outbound or cold calls • Ability to navigate Microsoft Office applications and type efficiently • Healthcare, health plan, or insurance industry experience preferred • Ability to multitask and work independently in a remote environment • Ability to meet compliance requirements • Must be eligible and provide proof of eligibility to work in the US

What's In It For You

• Fully remote opportunity with a respected healthcare organization • Competitive pay at $23 per hour • Opportunity to make a positive impact on members' health and wellbeing • Gain valuable experience within the healthcare and insurance industry • Collaborative and supportive team environment • Develop expertise in healthcare operations, member engagement, and case management processes

Benefits for Manpower Associates (Upon Eligibility)

Upon completion of waiting period associates are eligible for:

• Medical and Prescription Drug Plans • Dental Plan • Supplemental Life Insurance • Short Term Disability Insurance • 401(k)

* Remote Eligibility:Remote workers must reside in one of the following states to be eligible for this remote opportunity: North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, Wyoming