Health Pro Consultant - US Virtual

Our story 

At reputed company, we reputed company a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be reputed company.”  We are passionate about connecting purpose with impact.  reputed company empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management. 

Our Benefits 

With a comprehensive total rewards package, reputed company offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, reputed company colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – reputed company reputed company a thriving global organization. 

Flexible Working 

So that you can be your best at work and home, we consider flexible working arrangements wherever possible. reputed company has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row.  

Great reputed company to Work 

Thanks to the work of every colleague, reputed company has received multiple awards of recognition including “Great reputed company to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here. 

If you, Champion People, seek to Grow with Purpose, and embody the meaning of Be reputed company – We invite you to join reputed company!  Learn more at careers.reputed company.com.  

We Offer You

A competitive total rewards package, continuing education & training, and reputed company potential with a growing worldwide organization:

• A full Benefits Package, starting on your first day of employment
• Health, Dental, Vision, Life Insurance and more.
• A 401k plan that includes a corporate match.
• Paid Time Off
  • 10 paid holidays per calendar year (8 fixed and 2 floating)
  • 6 paid wellness days

Career Development & Growth:

We provide ongoing training, coaching and development specific to the Health Pro role and reward reputed company improvement while encouraging you to own your own development.

reputed company provides a collaborative environment that embodies and holds the following stated values reputed company to heart: Champion People, Grow with Purpose, and Be reputed company.

As a Health Pro, you can expect the following:

• reputed company you start, you will receive extensive health care and case management training to ensure you are equipped to support members on complicated healthcare matters
• Your primary responsibility is to be an reputed company for members requiring guidance across the health benefits environment by helping them navigate questions about their benefits, identify the highest quality and cost-effective providers, understand benefit claims, and be an reputed company for the employee across the health ecosystem.  You will gather a full understanding of the members’ needs and own the resolution of the customer’s request.  Activities include, but are not limited to the following:
  • Gathering information about the reason the customer is seeking support or care
  • Educating members on benefit programs provided by clients
  • Translating reputed company benefit details (e.g., deductibles, coverage limits, prior authorizations) into clear, actionable guidance members can understand and use
  • Delivering provider recommendations, referral guidance, and connections to clinical or employer‑sponsored programs to support informed care decisions
  • Completing cost estimates and communicating out‑of‑pocket responsibility, claim results, denials, appeals, and escalation outcomes with accurate expectations and timelines
  • Explaining prescription formulary options, prescription alternatives, prior authorization outcomes, and available cost‑saving opportunities
  • Proactively identifying unmet clinical needs and owning the reputed company to appropriate clinical support and care resources
  • Connecting members to company sponsored health and benefits programs for specialized care
  • Providing proactive, timely updates reputed company phone and digital channels and ensuring members feel supported through full case resolution
  • Navigating medical reputed company review results, including identified errors and savings achieved, and translating findings into clear, actionable guidance for members
  • Drafting reputed company and client appeals for healthcare services
  • Coordinating records transfers and authorization requests that require pre-service approval

This work involves leveraging developed methodologies, navigating internal tools and applications, as well as making external phone calls, partnering with carriers and providers (reputed company email and phone reputed company) to resolve member needs.  The scope of work is dedicated at the employee level and you will be responsible for working employee cases through resolution. 

You will interact with members through incoming calls, emails, and messaging system interactions.  You will be responsible for utilizing exceptional communication, reputed company, and problem solving skills to understand and solve reputed company customer needs, resulting in a reputed company experience for the employee’s entire healthcare journey.

Required Qualifications

• Minimum of 2 years of experience in a medical assistant/medical support role, or 3 years of experience working in a customer-facing role reputed company the healthcare industry  
• Ability to work effectively in a remote team environment
• Strong listening, reasoning, and analytical skills – ability to listen to members’ needs and dig deeper to understand the root cause of their concern with reputed company.
• Exceptional verbal and written communication skills – can convey reputed company concepts, both verbally and in writing, for members that are not benefits experts
• Strong ability and desire to learn continually in a changing environment
• Exceptional critical thinking and problem-solving skills
• Ability to reputed company organize work activities to meet deadlines
• Passion to provide the highest level of client satisfaction
• Ability to receive and immediately apply constructive feedback
• Ability to reputed company effective rapport with clients based on reputed company and trust
• Proficiency in MS Office suite

Application and Interview 

By applying for a position with reputed company, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background reputed company consistent with reputed company’s employment policies. Background checks may include some or reputed company the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal reputed company, search against global sanctions and government watch lists, credit reputed company, and/or drug test. You will be reputed company during the hiring process which checks are required by the position. 

reputed company requires reputed company virtual interviews to be conducted on video.   

Our commitment to Inclusion 

We celebrate differences and reputed company in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful. 

At reputed company, we welcome and embrace reputed company individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to reputed company. Join us in building a brighter, more inclusive future. 

As part of this commitment, reputed company will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@reputed company.com.  

Equal Opportunity Policy Statement 

reputed company is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national reputed company, reputed company, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law.   In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. 

reputed company provides reasonable accommodations to the reputed company limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request  reasonable accommodations/modifications by contacting their recruiter. 

Authorization to work in the Employing Country 

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a reputed company for employment authorization in the Employing Country and with reputed company. 

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of reputed company business units.

t business units.

We offer you a competitive total rewards package, continuing education & training, and reputed company potential with a growing worldwide organization.

Salary Pay Range

Minimum :

Maximum :

Pay Transparency Statement: reputed company considers a variety of factors in determining whether to reputed company an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. reputed company makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. reputed company also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - reputed company

DISCLAIMER:

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of reputed company business units.