Health Program Representative

Virtual:
This role enables associates to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

• 2:30pm – 11:00pm EST

The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision, the role handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

• Gathers and records appropriate member information in accordance with policies and procedures via telephone.
• Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
• Records call details and utilizes call scripts as needed based on client requirements.
• Directs member inquiries to appropriate clinical staff.
• Initiates referrals and manages consults from clinicians for participants registered in Care Management.
• Handles multiple tasks such as calls, texts, facsimiles, and electronic queues while taking notes and speaking to customers.
• Maintains focus during extended periods of sitting and handles multiple tasks in a fast‑paced, high‑pressure environment.
• Displays strong verbal and written communication skills, both with virtual and in‑person interactions; attentive to details, critical thinker, and problem‑solver.
• Demonstrates empathy and persistence to resolve caller issues completely.
• Comfortable and proficient with digital tools and platforms to enhance productivity and minimize manual efforts.
• Works a structured schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
• Performs other duties as assigned.

• High school diploma or equivalent.
• Minimum of 6 months experience in telesales or customer service; or any combination of education and experience which would provide an equivalent background.

• Computer/keyboarding proficiency strongly preferred.
• Knowledge of company products, services and benefits preferred.

For candidates working in person or virtually in the locations below, the salary range for this position is $17.00/hr to $26.72/hr.

Locations:
Nevada, Colorado

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health believes is the possible compensation for this role at the time of posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. No amount is considered wages or compensation until such amount is earned, vested, and determinable under applicable policies.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.