Medical Management & Outreach Support Specialist

Arkansas Blue Cross and Blue Shield

. Serve as the initial point of telephonic contact between the CM team and identified program members for program engagement .

Posted 11/4/2026full-timeRemote • United StatesJunior💰 $16 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong interpersonal and communication skills while providing non-clinical support in case management. Proficient in managing customer interactions and facilitating care coordination among various stakeholders.

Highest-signal resume keywords

Customer Support ExperienceManaged Care UnderstandingInterpersonal CommunicationMicrosoft Office ProficiencyMedical Terminology Knowledge

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

Case Referral ProcessesComplex Case EngagementTracking Database MaintenanceReport PreparationSocial Determinants of Health Identification

Soft Skills

Problem-SolvingFacilitation SkillsAttention to DetailOral CommunicationWritten Communication

Industry Keywords

MedicaidMedicareCommunity-Based OrganizationsHealth GoalsProgram Liaison

About the role

Key responsibilities & impact

Serve as the initial point of telephonic contact between the CM team and identified program members for program engagement
Provide non-clinical support to Exchange Medical Management CM teams as a program liaison throughout service offerings
Assist with case referral processes
Assist with complex case member engagement and scheduling
Attend and actively participate in required meetings
Collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager
Collaborate with social workers and/or care managers to develop action plans
Facilitate communication among patients, families, colleagues, and community-based organizations
Gather clinical information and determine the appropriate area to refer or assign cases
Maintain and update tracking databases
Prepare reports and document clear, concise notes on actions
Promote member engagement and enrollment in case management to help achieve health goals
Provide network provider or general program information when requested
Identify social determinants of health affecting patients' health and well-being
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent
Minimum one (1) year office and/or customer support experience interacting with customers via telephone, e-mail, and/or in-person
Previous experience in a role requiring an understanding of managed care or Medicaid/Medicare preferred
Interpersonal communication
Oral and written communication
Problem-solving
Facilitation skills
Attention to detail
Microsoft Office
Medical terminology
Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota