Care Coordinator

A Transcarent Care Coordinator is responsible for establishing trusting, supportive, collaborative relationships with members and their families. Coordinators build relationships with members in a clinical setting, working alongside medical providers, health coaches, nurses and behavioral health specialists in a collaborative, empathetic team.The Care Coordinator plays a frontline role in helping members navigate barriers to care. This position ensures that members receive timely and appropriate care by assisting with provider searches, referral coordination, and communication with health plans, primary care providers, and specialty offices. The coordinator serves as a liaison between members, providers, and insurance representatives to promote a seamless care experience.

In Expert Medical Opinion, the Care Coordinator supports the consultation journey by serving as a nurse extender, taking on non-clinical and administrative responsibilities that allow RNs to focus on clinical assessment, education, and member engagement. This role helps identify and resolve non-clinical barriers to care, gathers and verifies required member information, supports medical records collection under RN direction, and assists with scheduling and coordination across internal teams. By maintaining accurate case documentation and collaborating closely with operations and specialist partners, the Care Coordinator helps ensure cases move efficiently, and members receive timely, well-coordinated expert medical opinions.

What you'll do

These may vary depending on the department or specialty function you are working within. As a general guideline, a Care Coordinator can expect to be tasked with the following:

• Answer the phone and respond to incoming inquiries with plan members to ensure understanding of the program while delivering exceptional customer service
• Work member activities via telephonic, digital messaging, and/or via external referrals to address and resolve member barriers to utilize their benefits and address program questions
• Help identify and resolve non-clinical barriers that may prevent members from utilizing their benefit and escalate to RNs when clinical input is required.
• Assist clinical team members by obtaining the necessary information - demographic, financial, clinical and other pertinent data - to support members within the clinical program
• Under RN direction, initiate medical records requests, track progress, and follow up with facilities to ensure timely receipt of all required documentation
• Utilize internal platforms to provide RN and members accurate benefit, claims, and accumulator information
• Accurately record all outreach, referral status updates, and member interactions in the electronic health record (EHR) or care management system
• Partner with clinical teams, case managers, and scheduling staff to ensure members' care plans are supported and coordinated effectively
• Demonstrate empathy, active listening, and problem-solving to promote a positive member care experience
• Assists with scheduling expert medical opinions between members and specialists, supporting both automated scheduling processes and cases requiring direct coordination.

What we're looking for

• High School Diploma or Equivalent
• Associate's or higher in Healthcare Administration, Public Health or related field preferred•1-3 Years experience in healthcare operations, telehealth, insurance claims processing, benefits processing, customer service or similar field preferred
• Highly collaborative mindset
• High level of empathy and discretion in handling sensitive medical information
• Proficiency in Microsoft Office Suite plus the ability to work across multiple platforms at the same time
• Above average communication skills to include written and verbal communication

Preferred Qualifications

• Background in virtual care, telehealth, or care navigation.
• Experience in surgical scheduling or supporting procedural workflows.
• Demonstrated ability to identify workflow gaps and recommend process improvements.
• Strong multitasking skills and ability to move efficiently between multiple technologies.

Who we are

Transcarent is the One Place for Health and Care, bringing medical, pharmacy, and point solutions together with the WayFinding experience, the first and only generative AI-powered health and care platform for health consumers.

Our WayFinding experience, paired with transparent and consumer-driven pharmacy care, 2nd.MD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members. For more information, visit transcarent.com, and follow us on LinkedIn.

At Transcarent, our values guide everything we do:

• People First: We prioritize our Members, clients, and each other in every decision

• Care: Every decision starts with improving health and care for our Members

• Resilience: We push boundaries and take the uncharted path to change an industry

• Results: We take ownership, solve with speed, and deliver for our people and each other

• Humble and Human: We lead with humility, bring fun to tough moments, and go further together

Total Rewards

Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate's skills, experience, market demands, and internal equity. Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options.

Our benefits and perks programs include, but are not limited to:

• Competitive medical, dental, and vision coverage

• Competitive 401(k) Plan with a generous company match

• Flexible Time Off/Paid Time Off, 13 paid holidays

• Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance

• Mental Health and Wellness benefits

Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out!

Research shows that candidates from underrepresented backgrounds often don't apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren't looking for someone who checks each box on a page; we're looking for active learners and people who care about disrupting the current health and care with their unique experiences.