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Anthem, Inc. Outreach Specialist- Remote, Within 1 Hour of Any Anthem Location PS37834 in Mason, Ohio


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 company.

This position will be remote and candidates must live within 1 hour of any Anthem office. Candidates must be able to go into the office if needed for business purposes.

The Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and the current and potential members.

Primary duties may include, but are not limited to:

  • Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.

  • Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.

  • Welcomes new members to their Anthem plan by facilitating a high-touch onboarding experience through an orientation call.

  • Serves as one of the first points of contact and establishes a strong relationship between new members and Anthem.

  • Performs new member orientations.

  • Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.

  • Provides superior, professional, and courteous service to customers.


  • Requires HS Diploma.

  • 1 year of customer service experience, understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and Medicare programs; or any combination of education and experience that would provide an equivalent background.

  • Comprehends the various cultural and linguistic needs of the Medicaid and Medicare population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.

  • Displays a strong ability to collaborate and work with cross-functional teams, especially in a virtual environment.

  • Comprehends complex problems and is able to resolve multidimensional Medicare and Medicaid issues quickly and with ease.

  • Possesses the patience to work with member 65 and older and ensure that their concerns are addressed.

  • Experience with Medicare and Medicaid are strongly preferred.

  • Fluency in Spanish, Korean, Mandarin, Cantonese, or Vietnamese is a plus.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS37834-Mason-Mason