Scheduling Specialist

Alignment Health

. Serve as a subject matter expert on eligible clinical programs, including procedures, Health Assessment scheduling, protocols, benefits, and services .

Posted 11/9/2026full-timeRemote • United StatesJunior💰 $41,600 - $57,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical program eligibility and member outreach, ensuring high-quality member interactions and satisfaction. Proficient in data entry and documentation to support organizational goals and reporting.

Highest-signal resume keywords

Call Center ExperienceMedicare Advantage KnowledgeEffective Communication SkillsCustomer Service ExcellenceOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryTyping Speed 40+ Words Per MinuteBasic ArithmeticReport WritingMember Demographics Management

Soft Skills

Problem-SolvingTime ManagementCollaborationLeadershipRelationship Building

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Clinical ProgramsHealth Assessment SchedulingCare GapsHMOReferralsAuthorizationsMember Satisfaction

About the role

Key responsibilities & impact

Serve as a subject matter expert on eligible clinical programs, including procedures, Health Assessment scheduling, protocols, benefits, and services
Conduct member outreach and receive inbound calls within department goal timeframes, accommodating communication preferences and using interpreter services as needed
Collaborate with Member Services, Clinical Departments, and other partners to facilitate the member experience
Identify members targeted for care gaps and campaigns, analyze program eligibility, and connect members with appropriate programs, providers, or vendors
Document member interactions in real time and complete timely wrap-up in required systems and applications
Enter member demographics and information accurately to support organizational data quality and outcomes reporting
Meet or exceed individual and team goals and submit activity reports as required
Provide excellent customer service and contribute to high member satisfaction
Perform other duties as assigned

Requirements

What you’ll need

Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations
High School Diploma or GED
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others
Effective written and oral communication skills
Ability to establish and maintain constructive relationships with diverse members, management, employees and vendors
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees
Ability to perform basic arithmetic with two-digit numbers, tens and hundreds, and American money, weight, volume, and distance measurements
Ability to apply common-sense understanding to detailed but uninvolved instructions and standardized problems
Strong computer skills and typing speed of 40+ words per minute
Effective problem-solving, organizational, and time-management skills; ability to work in a fast-paced environment
Must be available to work full-time and overtime during the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar)