Benefits Specialist - Care Coordinator

As a Care Coordinator, you will provide personalized benefits and healthcare navigation support to members and their families. You will help members understand and use their benefits, connect with healthcare providers and available resources, coordinate administrative next steps, and address barriers to accessing care.

You will serve as a trusted resource throughout the healthcare journey while maintaining clear boundaries between benefits navigation and clinical care. Medical and treatment-related questions will be directed to the appropriate licensed healthcare professional.

A typical day as a Benefits Specialist - Care Coordinator might include:

• Work directly with members and, when appropriate, caregivers to understand their healthcare needs, questions, priorities, and barriers to accessing care.
• Help members understand and navigate their healthcare benefits, providers, pharmacies, health plan resources, employer-sponsored programs, and available community resources.
• Coordinate non-clinical next steps, including finding in-network providers, supporting provider-initiated referrals, scheduling appointments, arranging follow-up care, and connecting members with appropriate services.
• Identify barriers that may make it difficult for members to access care, such as cost, transportation, language, technology, health literacy, food, housing, or caregiver needs, and connect members with available resources.
• With appropriate member consent, communicate with healthcare providers, facilities, health plans, pharmacies, vendors, and other organizations to help coordinate services and necessary information.
• Document member needs, support provided, referrals, follow-up activities, and outcomes while protecting confidential information and following HIPAA, privacy, consent, and applicable policy requirements.
• Collaborate with Benefits team members, vendors, and licensed clinical professionals to support member needs, ensure effective follow-through, and continuously improve healthcare navigation services and resources.

This job might be for you if:

• B.A. or B.S. degree in related field or equivalent experience
• Minimum two years related experience or equivalent
• Proficient knowledge of MS Office
• Strong customer service experience
• Ability to maintain confidentiality and demonstrate discretion in handling sensitive information and data
• Demonstrated ability to handle/prioritize tasks in multiple disciplines
• Excellent communication and interpersonal skills
• Strong organizational and filing skills
• Strong writing, documentation, and speaking skills
• Ability to learn new skills and assume new responsibilities
• Ability to work cooperatively in a team environment

It would be nice if you have:

• Experience helping individuals navigate medical, behavioral health, pharmacy, and community resources.
• Experience working with claims, utilization, referral, eligibility, provider, or benefit information to support healthcare navigation.
• Experience coordinating services among healthcare providers, health plans, pharmacies, vendors, and community resources.
• Experience in employee benefits, healthcare navigation, patient/member services, healthcare administration, provider relations, health plan operations, or a related field.

Location Information:

Pullman, WA - This position is located in Pullman, WA. Nestled in Eastern Washington, offering an exceptional quality of life. Embrace the charm of small-town living with spacious surroundings, no traffic hassles, and easy access to outdoor adventures in nearby mountains, rivers, and forests. Plus, benefit from excellent schools and universities in the area.

Competitive pay. Superior benefits. Inspiring work.

People are at the core of our company and we hire employee-owners. We welcome you to learn more about how we support employees.

• We're 100% employee owned. Retirement benefits include an employer funded stock ownership plan (ESOP) and personal 401(k) options.
• We offer top tier medical, prescription, dental, vision, life, and disability insurance.
• We recognize the importance of a healthy life balance and offer: 10 paid holidays, annual vacation accrual starting at 12 days, 9 paid sick days, and paid family and medical leave that covers 90% of your pay.
• We foster growth and development of our employees through avenues such as STEM courses, apprenticeships, tuition assistance, and engineering development programs.
• Ask our team about other benefits including wellness, fertility, adoption, and flexible spending benefits.

Pay Range Information:

We anticipate on filling this position as a Human Resources Specialist $37.45 - $55.00 per hour. Our salary ranges are determined by job and responsibility. We base our starting pay offer and title on job-related factors such as candidate experience, training, knowledge, and skills.

Communication with Applicants

We communicate with all applicants. If you do not receive a response about your application, please check your SPAM filter or reach out to us at careers@selinc.com.

SEL is an Equal Opportunity Employer: Vets/Disabled.