Outreach Specialist

Elevance Health

. Serve as the initial and main point of field contact between the Company and current and potential members .

Posted 9/23/2026full-timeRaleigh • North Carolina • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills while effectively addressing the needs of Medicaid and SCHIP populations. Proficient in managing inquiries and issues related to benefits and services, with a focus on community engagement and support.

Highest-signal resume keywords

Community Health Worker CertificationCustomer ServiceManaged Care KnowledgeVerbal and Written Communication SkillsProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inquiry ResolutionReport ProcessingNew Member OrientationMulti-TaskingDigital Tools Proficiency

Soft Skills

EmpathyAttention to DetailCritical ThinkingPersistence

Tools & Technologies

Electronic QueuesFacsimilesText Communication

Certifications & Qualifications

Community Health Worker Certification

Industry Keywords

MedicaidSCHIPState Sponsored ProgramsPublicly Financed Health Insurance

About the role

Key responsibilities & impact

Serve as the initial and main point of field contact between the Company and current and potential members
Provide timely and accurate resolution of inquiries and issues regarding benefits, services, and policies
Support and promote State Sponsored Programs through participation in community events
Represent State Sponsored Programs in community collaborations
Support member access to care through home visits, report processing, and distribution of collateral materials
Perform new member orientations
Take ownership of issues to ensure timely resolution or follow-up
Provide professional and courteous customer service
Address the cultural and linguistic needs of the Medicaid and SCHIP population
Work with community-based organizations, providers, plan members, and company associates
Handle calls, texts, facsimiles, and electronic queues while taking notes and speaking with customers
Perform other duties as assigned

Requirements

What you’ll need

H.S. diploma or equivalent
Minimum of 1 year of related experience
Must be a North Carolina resident
Ability to obtain a Community Health Worker Certification within the first 6 months of employment for Medicaid business units
Understanding of the basic principles of managed care and publicly financed health insurance such as Medicaid and SCHIP programs is preferred
Ability to multi-task while handling calls, texts, facsimiles, and electronic queues
Strong verbal and written communication skills
Attention to detail, critical thinking, and problem-solving skills
Empathy and persistence in resolving caller issues
Comfort and proficiency with digital tools and platforms
Ability to maintain focus during extended periods of sitting and handle multiple tasks in a fast-paced, high-pressure environment
Ability to work a structured schedule with occasional overtime or flexibility based on business needs
Ability to work from the office as necessary

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) with company match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Virtual full-time work, except for required in-person training sessions
Professional and skill development through in-person onboarding and training