Remote Anthem Jobs (NOW HIRING)

Description
ABOUT RIA HEALTH
Ria Health is on a mission to bring effective evidence-based treatment for alcohol use disorder to all Americans. Our team consists of empathetic mission-driven professionals coming together to support the quality and availability of our national telehealth alcohol treatment program. We are seeking a Program Specialist to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health.
JOIN THE RIA HEALTH TEAM!
Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria's published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.
WORK AT RIA HEALTH AS AN ADMISSIONS SPECIALIST
Ria Health is seeking a self-driven and motivated Admissions Specialist to join our Admissions Center team. The Admissions Center is the face of Ria Health to new prospects, and you will report directly to the Admissions Center Manager. As an Admissions Specialist, your primary responsibility is to engage with prospects, actively listen to their needs, and explain how Ria Health's services can help them achieve a better relationship with alcohol. This is a sales-driven role with the expectation of consistently meeting monthly enrollment targets.
REQUIREMENTS

• Experience in Education, Sales, or a relevant field: Ability to connect with potential patients and drive admissions outcomes through both inbound and outbound calls.
• 1-3 years of experience in customer service, healthcare/patient care, customer engagement, or enrollment. Previous experience in sales or admissions is preferred.
• Polished and professional communication: Ability to build rapport and trust with potential patients quickly, engaging with them in a clear, empathetic, and professional manner.
• Tech-savvy: Comfortable using various computer applications and systems (Salesforce, Google Suite, and others).
• Passion for healthcare and technology: Flexible, naturally curious, and driven to find solutions to company challenges, particularly in the tech/healthcare industry.
• Commitment to HIPAA Compliance: Acknowledges and agrees to abide by Ria Health's policies to protect patient information and privacy.

PRINCIPLE DUTIES AND ESSENTIAL RESPONSIBILITIES

• Conduct discovery calls: Engage with prospects to determine if Ria Health's telehealth AUD treatment is the right fit, addressing both financial and programmatic objections.
• Manage insurance eligibility: Collect and determine insurance eligibility, collaborating with the Verifications Specialist to process eligibility requests before scheduled calls.
• Guide prospects through enrollment: Assist prospects through the enrollment process, referring those who aren't eligible to alternative resources, and ensuring the highest point of intent is captured.
• Sales-driven results: Meet monthly enrollment targets with a focus on conversion rates, setting realistic expectations and simplifying the decision-making process for prospects.
• Track interactions: Record all customer interactions in Salesforce CRM, ensuring data is accurate and up-to-date.
• Provide feedback: Work closely with the Enrollment team to identify areas of improvement, suggesting and implementing scalable processes.
• Collaborate across teams: Work independently while providing support and feedback to team members, attending meetings, and collaborating professionally with other departments.
• Proactively solve challenges: Demonstrate the ability to independently identify challenges and take action to resolve them.

GOALS

• Build trust: Establish rapport with prospects through active listening, providing helpful information, and creating a positive experience.
• Simplify decision-making: Help prospects make informed decisions by clearly explaining the program and setting realistic expectations.
• Achieve enrollment goals: Consistently meet or exceed monthly enrollment targets, focusing on high-quality conversions.
• Performance metrics: Receive weekly feedback on key metrics, including NPS, conversion rates, average talk time, accuracy, and calls accepted/completed per day.

This role requires a self-motivated individual who thrives in a fast-paced, target-driven environment. If you are passionate about helping others improve their relationship with alcohol and have the drive to meet goals, we would love to have you join our team.
ENJOY MANY RIA HEALTH BENEFITS

• Become part of a mission-driven team delivering innovative, next-generation care for alcohol use disorder
• Grow professionally within a rapidly scaling tech-enabled healthcare organization
• Competitive compensation packages
• Comprehensive medical, dental, and vision insurance
• Paid time off (PTO) that supports work-life balance
• Remote and hybrid work options based on role and business needs

EQUAL EMPLOYMENT OPPORTUNITY
Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Ria Health Vision:
A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.
Ria Health Mission:
We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.
Ria Health Values:
Compassion - we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
Integrity - We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
Teamwork - working together, we will achieve great things.
Embrace Change - we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.
Always Learning - We celebrate curiosity and discovery through development and research.
Pay Range
$21.63 Hourly to $0.00 Hourly