Pay Grade/Pay Range: Minimum: $48,600 - Midpoint: $60,800 (Salaried E7) Department/Organization: 218142 - AL Disability Advocacy Prog (ADAP) Normal Work Schedule: Monday - Friday 8:00am to 5:00pm Note to Applicants: Position is eligible for remote work subject to University policy. Job Summary: The Case Advocate II conducts all phases of advocacy for individuals and classes of persons with disabilities for whom legal rights have been denied. Completes intake work, case investigations, representation, negotiation, administrative remedies, and providing information and referral services throughout the State of Alabama. Presents to consumers and the public concerning the rights of persons with disabilities and current legal issues affecting individuals with disabilities. Works collaboratively with Clinical Students and Law Clerks, Senior Advocates, and Attorneys. Additional Department Summary: The Alabama Disabilities Advocacy Program, known as ADAP, is a federally mandated, statewide protection and advocacy program. It has served to protect, promote, and expand the rights of people with disabilities by providing legally based advocacy services since its inception in 1976. Required Minimum Qualifications: Bachelor's degree and two (2) years of attorney, educator, paralegal, and/or advocate experience; OR master's degree and some attorney, educator, paralegal, and/or advocate experience. Additional Required Department Minimum Qualifications: Some travel and overnight required. Must have valid U.S. driver's license. Must be at least 19 years of age at time of hire and have an acceptable Motor Vehicle Report that is in compliance with University policies. Applicants under the age of 21 will have some driving restrictions. A writing sample will be required by qualified candidates. In-person training will be required for all new hires and periodically as needed. Skills and Knowledge: Excellent problem-solving and analytical skills to devise advocacy strategies in complex situations. Extensive knowledge of federal and state laws, regulations and procedures regarding the rights of persons with disabilities and the service delivery systems for persons with disabilities. Extensive knowledge of disabilities, including mental illness, intellectual disabilities, and physical disabilities. Excellent verbal and written communication and interpersonal skills; this involves extensive client contact. Sound professional judgment, interpersonal and negotiation skills to build coalitions, develop agreements, and promote productive relationships with adverse parties. Excellent organization skills to handle an advocacy caseload and technical assistance responsibilities. Ability to mentor less experienced staff and students. Computer skills to include word processing, research and organization of tasks. Preferred Qualifications: A Bachelor's degree and six (6) years of related work experience or five (5) years advocacy work OR a Master's degree and four (4) years of related work experience or three (3) years advocacy work Background Investigation Statement: Prior to hiring, the final candidate(s) must successfully pass a pre-employment background investigation and information obtained from social media and other internet sources. A prior conviction reported as a result of the background investigation DOES NOT automatically disqualify a candidate from consideration for this position. A candidate with a prior conviction or negative behavioral red flags will receive an individualized review of the prior conviction or negative behavioral red flags before a hiring decision is made. Equal Employment Opportunity: The University of Alabama is an Equal Employment/Equal Educational Opportunity Institution. All qualified applicants will receive consideration for employment or volunteer status without regard to any legally protected basis and will not be discriminated against because of their protected status. Applicants and employees of this institution are protected under Federal law from discrimination on several bases. More information is available in the EEOC’s Know Your Rights: Workplace discrimination is illegal poster. The University of Alabama affirms its longstanding commitment to institutional neutrality, free speech, and academic freedom.

At Included Health, our mission is to raise the standard of healthcare for everyone. As a Member Care Advocate (MCA), you will embody this mission and act as a trusted guide to our members. You will help members navigate the complexities of their healthcare benefits and play a critical role in simplifying their healthcare journey. MCAs do this by handling a high-volume of interactions with members, helping them on their healthcare journey from start to finish. This role reports directly to the Member Advocacy team leadership and is an individual contributor position. This is a remote position and requires a secure, distraction-free home office. New MCA hires start their role in an 8-week paid training period with a strict schedule of 10 a.m. - 7 p.m. EST, Monday - Friday. Upon completion of the 8-week training period, employees will transition to their regular schedule as outlined during their offer and onboarding process. Missing work, leaving early, or arriving late without proper notice is considered an unplanned absence. Please note: No planned time off is permitted during the training period. Responsibilities - You will answer a high volume of inbound calls from members, providers, and vendors, ensuring every interaction is respectful, compassionate, and solution-oriented. - You will be a part of a team that manages all member inquiries, utilizing all available resources to provide precise, accurate information and aiming for first-call resolution - minimizing member effort. - You will own the member's journey, including researching and resolving complex cases, answering health plan-related questions, billing and claims inquiries, prior authorizations, and benefits coverage questions. - You will guide members in accessing the services that best meet their needs. This includes facilitating access to virtual care services, obtaining second opinions from experts, and connecting members to other valuable healthcare resources. For clinical opportunities, you will be tasked with internal routing and ensuring the member's continuity of care. - You will clearly explain all available benefits and help members understand their healthcare options, ensuring they are well-informed to make the best decisions for their health. - You will expertly utilize VoIP phone systems (e.g., CXOne), Google apps, Apple products, and customer relationship management (CRM) software, to navigate and document member interactions. - You will articulate Included Health's mission and understand the scope of our services to deliver consistent, high-quality advocacy to members. - You will ensure every interaction is high-quality and provide service that is perceptive, skilled, and focuses on our members. Qualifications - Bachelor's degree with 2 years of healthcare experience, OR 5 years of relevant experience in healthcare field. - Experience using VoIP phone systems (e.g., CXOne) AND comfortable handling a high volume of calls the entire day. - Robust knowledge with Google apps, Apple products, and customer relationship management software, with proven ability adapting to proprietary tools. - Must be able to complete the 8-week paid training period with no planned time off permitted. Training is 10 a.m. - 7 p.m. EST Monday - Friday. Pay: The United States new hire hourly rate for this contract position is: $21.00 Benefits: Medical and Dental, will be provided and managed by Contracting Agency. You can become eligible to transition to a permanent position after 5 months of contract work. Our compensation & benefits include: Excellent medical, dental, and vision insurance, plus extensive benefits through our own product (IH4IH) from day one including free virtual primary care, urgent care, and behavioral health. Support via our Employee Assistance Program and the Golden Ticket program for family and friends. We offer competitive salaries with a new hire rate of $24.10 per hour, reflecting expanded responsibilities and our commitment to a living wage. A work-from-home (WFH) stipend to cover your internet expenses and a 401(k) plan with a 50% match on your contributions, up to 6%. Paid time off, generous parental leave, company-wide holidays, and paid volunteer time. As a rapidly expanding company, we offer numerous opportunities for career advancement and professional development. About Included Health Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com. ----- Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

Our CHOICES Member Advocacy team is hiring for a Consumer Advocate! We are seeking a passionate and solutions‑driven Member Advocate who is committed to elevating the voice of TennCare CHOICES members and strengthening the quality of Long‑Term Services and Supports across our community. In this role, you will serve as a trusted navigator, problem‑solver, and program champion—helping members access services, resolve concerns, understand their rights, and stay safe and supported in the settings they call home. You will lead key member‑facing initiatives, including the facilitation of member Advisory Board meetings and forums, stakeholder discussions, and work collaboratively to bring resolution to member issues or concerns, ensuring that member experiences and feedback shape program improvements. Your work will also drive quality at a system level through conducting quality of life surveys, analysis of member feedback, and collaboration with TennCare and statewide partners to strengthen outcomes and advance person‑centered practices. This position is ideal for someone who wants to make a measurable impact on how older adults and individuals with disabilities experience care, dignity, and choice across Tennessee. To be successful in this role, you will need: - Strong advocacy skills - Strong organizational skills, demonstrated through past experience planning meetings and events - Strong communication and relationship building skills, demonstrated through meeting facilitation and experience building relationships in diverse community settings - Critical thinking and analysis skills, with demonstrated experience identifying root causes and solving tough problems in previous roles - Empathy and a desire to help others. Ideally, you'll have experience with the senior population or individuals with disabilities. Notes: - This is a remote job that may require some weekend work and minimal overnight travel. - Sponsorship is not available for this role. - We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. Job Responsibilities - Utilizes expertise to assist in resolution of member associated concerns regarding the safety and well-being of the member. - Serves as ex officio member of the Advisory Group, responsible for coordinating, oversee order fulfillment, taking meeting minutes and documenting action items for follow-up and facilitating the Quarterly Advisory Group meetings, community forums and makes recommendations regarding potential changes to the Program - Spearheads and coordinates quality initiatives and comprehensive prevention outreach programs; ensures successful completion of assigned projects and monitoring the processes to ensure compliance with quality level and regulations and to reduce the business or fraud risk exposed to company. - Serves as the internal representation of these members interests, including, but not limited to, input into planning and delivery of services for members receiving either Behavioral Health Services or long term services and supports and/or individuals with intellectual and developmental disabilities, program monitoring and evaluation, and member, family, and provider education; Serves as an Advocate in assisting members or member representatives with navigating through program processes. - Ability to travel with short notice which may include overnight stays Job Qualifications Education - Bachelors degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or related field; or equivalent work experience required. Experience - 3 years - Experience in Medicare/Medicare SNP or Medicaid/Medicaid SNP programs required; depending on the department. Skills\Certifications - Knowledge of educational programs, including research projects, extra-curricular activities, and academic planning; ability to manage these programs. - Ability to conceive and deliver innovative solutions - Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. - Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) - Proven ability to research independently and make sound decisions is required - Must be a team player, be organized and have the ability to handle multiple projects - Excellent oral and written communication skills - Strong interpersonal and organizational skills - Strong analytical skills License - Valid Driver's License BBEX, Grade 10, QIP ** Field worker position will work from home after training is complete. Memphis, Jackson or surrounding area candidates only or must be willing to relocate** Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Overview VytlOne (formerly MaxorPlus) is currently seeking highly motivated and empathetic Member Advocates to join our dynamic, growing operations team. As the voice of our brand, this role handles complex customer inquiries that require a human touch, leveraging system and tools to provide efficient and personalized solutions. The ideal candidate thrives in a fast-paced environment, has strong critical thinking skills, and is passionate about turning challenging interactions into positive brand-building opportunities. The Member Advocate is responsible for establishing and maintaining relationships with members on behalf of the company by taking personal and complete responsibility for each member-related contact and by ensuring that all member and client requirements are completely met. As a Member Advocate, you are the primary internal representative of our organization; you must convey to the caller (member, pharmacy, provider, client or other) a sense of expertise in our services. Position Location This is a remote-based position within the Continental US. Who We Are VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions—delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we’re not just transforming pharmacy—we’re making a purposeful impact on the communities we serve. Why Choose a Career at VytlOne? At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger—where their work truly matters. We foster a culture of authenticity, where you’re encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you’ll find a place where your ideas are heard, your contributions are valued, and your career can thrive. VytlOne Voted Top Places to 5 years in a row.... 2021, 2022, 2023, 2024 and 2025! Responsibilities - Customer engagement: Field complex inbound inquiries, emails, and chat messages with professionalism and empathy. - Problem resolution: Efficiently and creatively resolve customer complaints, escalating complex issues to the appropriate channels when necessary. - Job Knowledge: Maintain deep job and service knowledge to confidently and accurately educate and serve members according to VytlOne standards. - Performance management: Meet or exceed key performance metrics to include, but not limited to: - QA Scores - Member Satisfaction Survey Scores - Average Handle Time (AHT) - Schedule Adherence - Attendance Standards - Adaptability: Remain flexible and composed while navigating different member personalities, unpredictable call volumes, and changing procedures. - Data management: Maintain meticulous and accurate records of customer interactions within the CRM and AI tools, contributing valuable data for process improvement. - Process improvement: Proactively identify trends in customer feedback and issues, providing insights to management to streamline processes and enhance the member experience. - AI collaboration: Partner with AI-powered tools (e.g., AI copilots, knowledge bases) to access real-time information, generate call summaries, and personalize member interactions. - Communication: Maintain an open line of communication with all team members, including Member Services Management, and Lead Member Advocate. - Ongoing Training: Attend and participate in programs and meetings required by VytlOne and/or Member Services Department. - Compliance: - Promptly report any allegations of impropriety to the Compliance Department. - Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. - Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. - Perform other job-related duties as assigned. Qualifications Education: - High school diploma, GED, or equivalent Experience: - Required: 2+ years Pharmacy or Health Care customer service experience. - Preferred: Experience with PBM Contact Center, Chat Support, AI and CRM technologies. Knowledge, Skills, and Abilities: - Empathy and emotional intelligence: Strong interpersonal skills to build rapport, actively listen, and tailor service to member emotions and intent. - Communication skills: Excellent verbal and written communication skills, with a professional, collaborative, and friendly demeanor. - Problem-solving aptitude: A proactive and efficient problem-solver who can think through complex situations and offer creative, effective solutions. - Coachable mindset: Must be open to receiving feedback on performance which will be provided by the quality team, team leads, supervisors, manager and VP. - Technical competency: Proficiency with computers and the ability to navigate multiple systems simultaneously, including CRM, AI tools, and Contact Center software. - Resilience: The ability to manage stress and stay composed, especially in challenging situations. - Reliability: Punctuality and dependable attendance are essential to meet operational needs. - Adaptability: Ability to learn new skills, tasks, and technology. - Team Oriented: Strong ability to integrate into a team environment, collaborate with diverse work styles, and positively contribute to organizational culture. - AI proficiency: A tech-forward mindset and the ability to leverage AI-powered platforms and digital tools to enhance efficiency. WORK SCHEDULE: - Scheduling flexibility is a requirement; may be required to work rotating shifts, including Holidays, weekends, and nights. Some overtime may be required. REMOTE WORK REQUIREMENTS - A reliable, high-speed internet connection (preferably wired), a dedicated, distraction free workspace, and proficiency with remote communication tools are essential. - Tech setup: You will be provided with all the tools needed to perform your role, including dual monitors, laptop, and headset. This position offers an hourly rate ranging from $17-$23/hour, based on experience and qualifications. WE OFFER At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You’ll work with a mission-driven organization focused on improving healthcare outcomes. Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including: - Comprehensive mental health and wellbeing resources - Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums - Company-paid basic life/AD&D, short-term and long-term disability insurance - Rx, dental, vision, other voluntary benefits, and FSA - Employer-matched 401k Plan - Industry-leading PTO plan - And more! Join us and help build the future of pharmacy care – better outcomes, stronger margins, and healthier communities. FOR MORE INFORMATION: VytlOne Website VytlOne LinkedIn VytlOne (formerly Maxor) is an EOE, including disability/vets