**Company :**
Highmark Inc.
**Job Description :**

**JOB SUMMARY**

This job is responsible for serving as a liaison between the member, the Health Plan, and the relevant state and/or federal regulators. The position conducts telephonic support to assess member needs, provide appointment scheduling assistance, and educating members of their rights and responsibilities. This position is also responsible for assisting members in navigating the grievance and appeals process and representing member interests internally and externally.

**ESSENTIAL RESPONSIBILITIES**

+ Communicate effectively with staff, providers and members to accomplish business and member needs
+ Initiate outreach efforts, primarily by telephone, related to targeted preventive health initiatives:
+ Perform member education functions on the importance of targeted preventive health service
+ Recruit, holistically assess and enroll members into Disease Management Programs as ...