{"schemaVersion":"jobsearcher.job.v1","id":"6f5497dfd8a2bb2d582694ef","url":"https://jobsearcher.com/jobs/6f5497dfd8a2bb2d582694ef","canonicalUrl":"https://jobsearcher.com/jobs/6f5497dfd8a2bb2d582694ef","title":"Outreach Representative","description":"Company :\nHighmark Inc.\nJob Description :\n\nJOB SUMMARY\n\nThis 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.\n\nESSENTIAL RESPONSIBILITIES\n\nCommunicate effectively with staff, providers and members to accomplish business and member needs\n\nInitiate outreach efforts, primarily by telephone, related to targeted preventive health initiatives:\n\nPerform member education functions on the importance of targeted preventive health service\n\nRecruit, holistically assess and enroll members into Disease Management Programs as appropriate\n\nAssess opportunity for Care Management intervention and make appropriate referral\n\nContact members, providers and community agencies to coordinate access to preventive health services\n\nTracks all member and provider contacts in the appropriate computer systems for the purposes of data collection and record keeping\n\nParticipate in the development of outreach programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members.\n\nOther duties as assigned or requested.\n\nEDUCATION\n\nRequired\n\nHigh School / GED\n\nSubstitutions\n\nNone\n\nPreferred\n\nAssociate’s Degree\n\nEXPERIENCE\n\nRequired\n\n1 year in Community Outreach or Customer Service\n\nPreferred\n\nFamiliarity with healthcare and/or insurance\n\nExperience working with the Medicaid and/or Medicare population\n\nLICENSES or CERTIFICATIONS\n\nRequired\n\nNone\n\nPreferred\n\nNone\n\nSKILLS\n\nMust be proactive, self-directed, assertive and creative in problem solving and system planning\n\nStrong 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\n\nDemonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously\n\nMust demonstrate sound judgment and discretion when approaching problems and making decisions\n\nThis position must be able to utilize sound and flexible productive work habits to set priorities, organize work and utilize time effectively\n\nMust 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\n\nMust demonstrate patience and empathy when interacting with members and all internal/external customers\n\nThis job requires the ability to work independently and as a team member\n\nLanguage (Other than English):\n\nNone\n\nTravel Requirement:\n\n0% - 25%\n\nPHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS\n\nPosition Type\n\nOffice-based\n\nTeaches / trains others regularly\n\nOccasionally\n\nTravel regularly from the office to various work sites or from site-to-site\n\nRarely\n\nWorks primarily out-of-the office selling products/services (sales employees)\n\nNever\n\nPhysical work site required\n\nYes\n\nLifting: up to 10 pounds\n\nConstantly\n\nLifting: 10 to 25 pounds\n\nOccasionally\n\nLifting: 25 to 50 pounds\n\nNever\n\nDisclaimer: 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.\n\nCompliance 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.\n\nAs 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.\n\nFurthermore, 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.\n\nPay Range Minimum:\n\n$19.66\n\nPay Range Maximum:\n\n$27.42\n\nBase 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.\n\nHighmark 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.\n\nWe 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.\n\nFor accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org\n\nCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice","company":"Highmark","rawCompany":"highmark","city":"Delaware","state":"OK","isRemote":false,"isActive":false,"createdAt":"2026-09-24T10:04:34.600Z","occupations":[{"code":"21-1094.00","title":"Community Health Workers","slug":"community-health-workers"},{"code":"29-2099.08","title":"Patient Representatives","slug":"patient-representatives"},{"code":"21-1099.00","title":"Community and Social Service Specialists, All Other","slug":"community-and-social-service-specialists-all-other"}],"industries":[{"code":"923120","title":"Administration of Public Health Programs","slug":"administration-of-public-health-programs"},{"code":"621491","title":"HMO Medical Centers","slug":"hmo-medical-centers"},{"code":"524114","title":"Direct Health and Medical Insurance Carriers","slug":"direct-health-and-medical-insurance-carriers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Outreach Representative","description":"Company :\nHighmark Inc.\nJob Description :\n\nJOB SUMMARY\n\nThis 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.\n\nESSENTIAL RESPONSIBILITIES\n\nCommunicate effectively with staff, providers and members to accomplish business and member needs\n\nInitiate outreach efforts, primarily by telephone, related to targeted preventive health initiatives:\n\nPerform member education functions on the importance of targeted preventive health service\n\nRecruit, holistically assess and enroll members into Disease Management Programs as appropriate\n\nAssess opportunity for Care Management intervention and make appropriate referral\n\nContact members, providers and community agencies to coordinate access to preventive health services\n\nTracks all member and provider contacts in the appropriate computer systems for the purposes of data collection and record keeping\n\nParticipate in the development of outreach programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members.\n\nOther duties as assigned or requested.\n\nEDUCATION\n\nRequired\n\nHigh School / GED\n\nSubstitutions\n\nNone\n\nPreferred\n\nAssociate’s Degree\n\nEXPERIENCE\n\nRequired\n\n1 year in Community Outreach or Customer Service\n\nPreferred\n\nFamiliarity with healthcare and/or insurance\n\nExperience working with the Medicaid and/or Medicare population\n\nLICENSES or CERTIFICATIONS\n\nRequired\n\nNone\n\nPreferred\n\nNone\n\nSKILLS\n\nMust be proactive, self-directed, assertive and creative in problem solving and system planning\n\nStrong 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\n\nDemonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously\n\nMust demonstrate sound judgment and discretion when approaching problems and making decisions\n\nThis position must be able to utilize sound and flexible productive work habits to set priorities, organize work and utilize time effectively\n\nMust 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\n\nMust demonstrate patience and empathy when interacting with members and all internal/external customers\n\nThis job requires the ability to work independently and as a team member\n\nLanguage (Other than English):\n\nNone\n\nTravel Requirement:\n\n0% - 25%\n\nPHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS\n\nPosition Type\n\nOffice-based\n\nTeaches / trains others regularly\n\nOccasionally\n\nTravel regularly from the office to various work sites or from site-to-site\n\nRarely\n\nWorks primarily out-of-the office selling products/services (sales employees)\n\nNever\n\nPhysical work site required\n\nYes\n\nLifting: up to 10 pounds\n\nConstantly\n\nLifting: 10 to 25 pounds\n\nOccasionally\n\nLifting: 25 to 50 pounds\n\nNever\n\nDisclaimer: 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.\n\nCompliance 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.\n\nAs 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.\n\nFurthermore, 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.\n\nPay Range Minimum:\n\n$19.66\n\nPay Range Maximum:\n\n$27.42\n\nBase 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.\n\nHighmark 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.\n\nWe 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.\n\nFor accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org\n\nCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice","datePosted":"2026-09-24T10:04:34.600Z","dateModified":"2026-09-24T10:04:34.600Z","hiringOrganization":{"@type":"Organization","name":"Highmark","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Delaware","addressRegion":"OK","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"6f5497dfd8a2bb2d582694ef"},"url":"https://jobsearcher.com/jobs/6f5497dfd8a2bb2d582694ef"}}