Title: Customer Advocate I Location: Albuquerque New Mexico HQ (5701 Balloon Fiesta Parkway) remote type RemoteCSHub locations NM - Albuquerque time type Full time Job Description: At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 85% of the scheduled time on the phone according to business need. JOB REQUIREMENTS: - High school diploma OR GED. - 6 months customer service experience OR 6 months experience in an office environment. - Data entry and/or typing experience. - Interpersonal, verbal and written communication skills. - Analytical and organizational skills and independent decision making skills. - Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks. ​PREFERRED JOB REQUIREMENTS: - 9 months customer service experience. - Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management. - Knowledge of medical terminology and anatomy. - Proven ability to learn quickly and adapt to change. - Referral preference given to applicants able to take and meet testing criteria. New Hires must complete the training onsite at our Albuquerque, New Mexico office location. After full training is complete, flexible schedule is available and there will be an opportunity to work remote. Sponsorship is not available INKT INDM Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visitinghttps://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $17.75 - $28.39 Exact compensation may vary based on skills, experience, and location.

Role Description Elevate Your Career with Sagility. Sagility is a global leader in healthcare business process management, dedicated to improving member and provider experience through innovation, operational excellence, and compassionate service. Become Part of a Team That S.O.A.R.s! At Sagility, our culture is built on four core values: - S Spark Curiosity: We continuously learn, ask questions, and seek smarter ways to improve healthcare operations. - O One Team, One Direction: We collaborate across teams and geographies to deliver results that matter. - A Action for Results: We move with urgency, accountability, and purpose. - R Right by the Right Purpose: We act with integrity and always do what’s right for members, providers, and each other. If you are detail-oriented, organized, and ready to grow in healthcare operations, this is your opportunity to build a meaningful career while living our S.O.A.R. values every day. Key Responsibilities - Conduct primary source verification of provider credentials (licenses, education, board certifications, work history). - Maintain accurate and up-to-date provider records within credentialing systems. - Track expiration dates for licenses, certifications, and malpractice insurance. - Prepare credentialing and recredentialing files for review and approval. - Communicate with providers to obtain required documentation and resolve discrepancies. - Support audits, accreditation reviews, and compliance reporting. - Ensure adherence to company policies and regulatory standards. - Respond to internal and external credentialing inquiries in a timely and professional manner. - Perform data entry and administrative support related to provider enrollment. Qualifications - High school diploma or equivalent. - Strong attention to detail and organizational skills. - Proficiency in Microsoft Office (Excel, Word, Outlook). - Strong written and verbal communication skills. - Ability to manage multiple priorities and meet deadlines. - Ability to maintain confidentiality and handle sensitive information. Requirements - Previous administrative, healthcare operations, or data entry experience (preferred). - Familiarity with credentialing software or provider databases (MP3, Echo, NOW, CAQH, etc.) (preferred). - Basic understanding of healthcare compliance or regulatory requirements (preferred). Benefits - $16.00/hour, plus performance-based incentives. - Paid virtual training. - Comprehensive medical, dental, and vision coverage (after 90 days). - Daily Pay option. - Paid Time Off (PTO). - 401(k) with employer contribution. - Life Insurance, Short-Term & Long-Term Disability. - Flexible Spending Account (FSA). - Employee Assistance Program (EAP). - Tuition Reimbursement. - Employee wellness and engagement programs. - Career advancement opportunities. - 90% of our leaders began in entry-level roles. Work Requirements - Must be 18 years of age or older. - Minimum of 6 months at a single employer (preferably in healthcare or customer service). - Reliable attendance, including no absences during the first 90 days. - Flexible availability, including weekends if required. - Hardwired internet connection (minimum 25 Mbps download / 10 Mbps upload). - Secure, private home workspace.

Role Description The Client Advocate is responsible for providing prompt, efficient, high-quality service to our broker partners, clients, and carrier resources. - Gain knowledge of insurance products including but not limited to dental, life, disability, vision, accident, critical illness, and medical. - Achieve expert understanding and maintenance in all Benefit Administration systems. - Assist the GIS Account Managers with employee enrollments and execution of new business. - Assist in managing the Client Advocate email and phone lines for incoming service requests. - Acknowledge service tickets within 1 business day, resolve service tickets within 3 business days, escalate if outside this timeline. - Attend Broker/Customer training calls with the GIS Account Manager for introductions and clean hand off to the Client Advocate Team. - Conduct portal refresher trainings as needed 120 days post effective date. Escalate all issues or misunderstandings to the Team Lead to address with appropriate sales parties. - Attend stewardships or broker education calls for key accounts identified by office contacts. - Conduct customer/broker phone calls as frequently as possible to answer enrollment and billing processing questions, follow up calls with clear, concise meeting notes. - Provide support for renewals as needed. - Other administrative tasks as assigned by the Local GIS Office. Qualifications - BS or BA degree is required. Requirements - Must be able to work in a fast-paced environment. - The ideal candidate will be proficient with all methods of communication: in person, phone, and email. - Must have the ability to learn quickly. - Must have proficiency basics with Excel and the Microsoft Office Suite. - The candidate has a sense of urgency and takes pride in their work. - Must be comfortable in a team environment. - Must have the ability to articulate solutions to service issues. - The qualified candidate should have self-motivation, strong organizational, time management and follow-through skills, excellent communication skills both written and verbal, and the desire and ability to continually learn new products and services. Company Description

Role Description The Client Advocate is responsible for assisting clients’ employees with benefit plan questions and/or help with issue resolution. The CA serves as the direct point of contact for these employees and handles incoming phone calls and emails as needed. They will work under the direction of the Account Manager and collaboratively as part of an internal team. Essential Duties and Responsibilities (include but are not limited to): - Assist clients and their employees with various benefit questions which may include: - Finding physicians - Understanding benefit plans - Reviewing and resolving claims - Resolving transition of care issues - Assistance with authorization/approval issues - Confirming the member cost-share under their plan - Completing annual stewardship reports - Completing annual employee survey reports - Open Enrollment Support – EE Calls / Emails - Open Enrollment Communication to LOA’s (if OD LOA Client) - Urgent Enrollments / Access to Care - Late Enrollments inclusive of Advocate asking for and receiving sign-off & approval from Client - ID cards (if online access available) - Eligibility Inquires (ex: is this a valid QLE?) - EOI Support on One-off cases when member reaches out - Enrollment Audit Discrepancies when received from AAM - Carrier System Basic Support (ex. Providing carrier links & info.) - All Cases entered to D365 upon Receipt Qualifications - Strong verbal and written communication skills - Strong mathematical and analytical skills - Effective relationship builder - Proficiency with computer programs, specifically Microsoft Office and Excel - Positive, can-do attitude - Ability to be flexible and adapt easily to change and a fast-paced environment - Detail-oriented approach to work - Ability to effectively manage high volumes of work - Strong organizational skills Requirements - Bachelor’s Degree, required - Previous experience working in insurance/employee benefits, preferred - Valid California Life and health license, required within 90 days - License required after 90 days Benefits - The typical base range for this role is $71,000 - $75,000 - Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. - In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. - We also offer eligible employees health, wellbeing, retirement, and other financial benefits. - Paid time off, overtime pay for non-exempt employees, and robust learning and development programs. - You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.