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Outreach Representative

June 2, 2026

<h2>Company :</h2>Highmark Inc.<h2>Job Description : </h2>JOB SUMMARYThis 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<ul><li>Communicate effectively with staff, providers and members to accomplish business and member needs</li><li>Initiate outreach efforts, primarily by telephone, related to targeted preventive health initiatives:<ul><li>Perform member education functions on the importance of targeted preventive health service</li><li>Recruit, holistically assess and enroll members into Disease Management Programs as appropriate </li><li>Assess opportunity for Care Management intervention and make appropriate referral</li><li>Contact members, providers and community agencies to coordinate access to preventive health services</li><li>Tracks all member and provider contacts in the appropriate computer systems for the purposes of data collection and record keeping</li></ul></li><li>Participate in the development of outreach programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members.</li><li>Other duties as assigned or requested.</li></ul>EDUCATIONRequired<ul><li>High School / GED</li></ul>Substitutions<ul><li>None</li></ul>Preferred<ul><li>Associate’s Degree</li></ul>EXPERIENCERequired<ul><li>1 year in Community Outreach or Customer Service</li></ul>Preferred<ul><li>Familiarity with healthcare and/or insurance</li><li>Experience working with the Medicaid and/or Medicare population</li></ul>LICENSES or CERTIFICATIONSRequired<ul><li>None</li></ul>Preferred<ul><li>None</li></ul>SKILLS<ul><li>Must be proactive, self-directed, assertive and creative in problem solving and system planning </li><li>Strong active listening skills with the ability to act sensitively toward diverse people and situations .Ability to successfully interact with external customers, peers, colleagues, and management team </li><li>Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously </li><li>Must demonstrate sound judgment and discretion when approaching problems and making decisions</li><li>This position must be able to utilize sound and flexible productive work habits to set priorities, organize work and utilize time effectively</li><li>Must be aware of issues members face related to healthcare including transportation, child care, lack of knowledge concerning preventive health, distrust of the system as well as other personal, social, financial barriers </li><li>Must demonstrate patience and empathy when interacting with members and all internal/external customers</li><li>This job requires the ability to work independently and as a team member </li></ul>Language (Other than English):NoneTravel Requirement:0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice-basedTeaches / trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsNeverDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum:$19.66Pay Range Maximum:$27.42Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.For accommodation requests, please contact HR Services Online at <a href="mailto:HRServices@highmarkhealth.org" target="_blank" rel="noopener noreferrer">HRServices@highmarkhealth.org</a><a href="https://dokumfe7mps0i.cloudfront.net/oms/4391/document/2026/1/doclib_458575_QLVK9_1769448333304228022_1769448333396/1769448333396.pdf" target="_blank" rel="noopener noreferrer">California Consumer Privacy Act Employees, Contractors, and Applicants Notice</a>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...