New

Patient Care Advocate

Spectraforce Technologies

United States, Ohio, Toledo

Jun 06, 2025

Title: Patient Care Advocate

Location: Reside in OH - Mileage is covered - Toledo or Dayton. (within an hour)

Duration: 04 months (Potential to convert)

Shift: 9:00 am - 5:00 pm EST (Various shifts to support later outreach hours)

Job Description:

Coordinated outreach to targeted open HEDIS gaps, reduce barriers and obstacles to care delivery (scheduling appointments, setting up transportation, educating on over the counter benefits, educating on healthy rewards available, and educating on preventative care, etc.)
Describe the performance expectations/metrics for this individual and their team:
PCA team members will need to communicate with members on a daily basis to aid in HEDIS gap closure. PCA staff will need to meet/exceed goals for scheduling appointments with members to close focused HEDIS care gaps. PCA's need to be friendly, motivated, and responsible self-starters who can work independently in a remote environment. PCA's may go to provider offices within an hour of their home to work with them on scheduling members for care gap closure and need to be available to do this upon request. This is an outbound call team. Proficiency with Microsoft Excel is beneficial in this role. PCA's must feel comfortable talking with both members and providers.

Internal/External Groups with which the Candidate will interface:	Members, Providers,multiple health plans and corporate departments
Required Skills/Experience:		Preferred Skills/ Experience:
1.	Customer Service Exp	1.	Provider Engagement/Reprsentative
2.	Quality/Healthcare x 2 years	2.	RN/LPN/SW
3.		3.
Education Requirement:	Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or two plus years health field or equivalent work experience	Education Preferred:	Bachelor's Degree