Managed Care Outreach Specialist

About this role

Job Description: Managed Care Outreach Specialist Location: Hannibal, MO Company: Centerstone Schedule: Full-Time | Monday-Friday

Help Connect People to the Care They Need Centerstone is seeking a compassionate, relationship-driven Managed Care Outreach Specialist to support individuals in accessing healthcare services, navigating insurance and managed care programs, and overcoming barriers that impact their health and well-being.

In this role, you will serve as a vital link between patients, healthcare providers, managed care organizations, and community resources. You will proactively engage individuals who may benefit from healthcare services, connect them with appropriate programs and support, and help ensure they receive the care and resources needed to achieve better health outcomes.

If you're passionate about helping others, improving access to care, and making a meaningful impact in your community, we'd love to hear from you!

Why Join Centerstone? • 29 Days of Paid Time Off (PTO) • HRSA Loan Repayment Eligibility (requirements apply) • Comprehensive Medical, Dental, and Vision Insurance • Competitive 403(b) Retirement Plan with up to 5% Employer Match • Company-Paid Basic Life Insurance • Emergency Medical Leave Program • Flexible Spending Accounts (Healthcare & Dependent Care) • Employee Assistance Program (EAP) • Employee Wellness Program • Employee Discount Program

What You'll Do Member Outreach & Engagement • Conduct outreach to individuals enrolled in or eligible for managed care, Medicaid, Medicare, and other healthcare programs. • Build trusting relationships with patients through phone, virtual, community, and in-person outreach efforts. • Educate individuals on available healthcare services, preventative care programs, and wellness resources. • Promote healthcare engagement by encouraging participation in appointments, screenings, and care plans. • Assist with outreach campaigns designed to improve health outcomes and care compliance.

Care Coordination & Patient Support • Serve as a liaison between patients, providers, managed care organizations, and community partners. • Assist individuals in navigating healthcare, behavioral health, and social service systems. • Identify barriers to care, including transportation, housing, food insecurity, and access issues, and help connect patients with appropriate resources. • Support care management initiatives, including chronic disease management, preventative care, and patient education. • Conduct follow-up outreach to ensure individuals receive needed services and support.

Insurance Navigation & Enrollment Assistance • Educate patients about healthcare coverage options and available managed care programs. • Assist individuals with eligibility determination, enrollment activities, and healthcare plan selection. • Help patients understand benefits, coverage options, and available support services. • Partner with managed care organizations to support continuity of care and member engagement initiatives.

Community Outreach & Resource Navigation • Develop and maintain relationships with community organizations, service providers, and referral partners. • Connect individuals to community-based resources that support overall health and wellness. • Participate in health fairs, outreach events, and community engagement activities. • Advocate for patient needs and promote culturally responsive, person-centered care.

Documentation & Collaboration • Maintain accurate documentation and data entry in accordance with organizational and regulatory requirements. • Track outreach efforts, enrollment activities, referrals, and patient outcomes. • Collaborate with multidisciplinary teams to improve patient engagement and health outcomes. • Participate in quality improvement initiatives, department projects, and other duties as assigned.

What You'll Bring Knowledge, Skills & Abilities • Understanding of managed care principles, healthcare access, social determinants of health, and patient engagement strategies. • Knowledge of Medicaid, Medicare, Qualified Health Plans (QHPs), and healthcare enrollment processes preferred. • Strong relationship-building, customer service, and communication skills. • Ability to effectively engage individuals from diverse backgrounds and communities. • Excellent organizational skills with strong attention to detail. • Ability to manage multiple priorities in a fast-paced environment. • Proficiency in Microsoft Office applications including Outlook, Excel, Teams, and Word. • Ability to work independently and collaboratively within a multidisciplinary team.

Education & Experience Required • High School Diploma or equivalent.

Preferred • Associate's or Bachelor's degree in Public Health, Healthcare Administration, Social Work, Human Services, Business, or a related field. • Two (2) years of experience in healthcare outreach, managed care, member services, patient navigation, community health, case management, customer service, or a related field.

Additional Experience Beneficial for Success • Managed care or health plan operations • Medicaid or Medicare enrollment • Patient advocacy and navigation • Healthcare customer service • Community outreach and engagement • Public speaking and health education • Data entry and documentation • Behavioral health or healthcare settings

Employment Requirements • Valid driver's license, reliable transportation, and current auto insurance. • Tuberculosis (TB) screening required for all direct care staff.

Why This Role Matters As a Managed Care Outreach Specialist, you will play a key role in improving access to care, reducing barriers to services, increasing patient engagement, and helping individuals achieve better health outcomes. Your work will directly support Centerstone's mission of delivering care that changes people's lives and strengthens communities. 

 Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package t

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