We are currently seeking experienced Care Engagement Specialists to support member outreach, preventive care, and healthcare quality improvement efforts throughout Indiana.
Schedule: Full-Time, Monday–Friday, 9:00 a.m.–6:00 p.m. ET
Orientation Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. ET
Assignment Length: Seven-month contract with the possibility of extension or conversion
Anticipated Start Date: August 24, 2026. This is a fully remote position for candidates residing in Indiana. Team members may occasionally be asked to attend an in-person office event, potentially once per year, although no specific dates are currently scheduled. Overtime is not anticipated.
Position Summary:
The Care Engagement Specialist supports members in accessing preventive healthcare services, completing Health Needs Screenings, scheduling medical appointments, and understanding their available health plan benefits and resources.
Through inbound and outbound telephone outreach, the Care Engagement Specialist educates members about available services, identifies barriers that may prevent them from receiving needed care, and encourages them to complete screenings, appointments, and other activities that support improved health outcomes.
The ideal candidate is a confident communicator with strong customer service and sales skills who is comfortable working in a high-volume call environment, building rapport with members, and encouraging individuals to take meaningful steps in managing their healthcare.
Key Responsibilities:
Make outbound calls and receive inbound calls from health plan members.
Conduct outreach campaigns focused on preventive care, healthcare quality measures, and member engagement.
Build rapport with members and encourage participation in available healthcare programs and services.
Use persuasive, member-focused communication to help individuals understand the importance of completing recommended healthcare activities.
Adjust outreach approaches based on member needs, previous interactions, and available call data.
Assist members with completing required Health Needs Screenings.
Schedule preventive care appointments and other necessary healthcare services.
Support provider selection and provider assignment activities.
Help members identify and overcome barriers that may prevent them from completing screenings or attending scheduled appointments.
Encourage members to follow through with recommended preventive services and ongoing care.
Educate members regarding available health plan benefits, enhanced services, and preferred providers.
Explain opportunities for members to become eligible for additional or enhanced benefits.
Assist members who may need to make applicable payments to obtain enhanced benefits.
Provide members with educational materials and clear information about available healthcare services.
Educate members regarding the appropriate use of emergency departments for non-emergency healthcare needs.
Review each member’s profile before outreach to identify care gaps, available benefits, and opportunities for additional support.
Identify barriers related to healthcare access, appointment completion, provider selection, or benefit eligibility.
Work with members to develop practical solutions that support completion of needed screenings and services.
Document outreach attempts, member responses, completed activities, and follow-up needs accurately and promptly.
Participate in continuous quality improvement initiatives designed to meet or exceed department and organizational goals.
Review and analyze call reports to identify opportunities to improve outreach strategies and member engagement.
Work toward monthly goals related to completed Health Needs Screenings and scheduled appointments.
Maintain dependable attendance and schedule adherence.
Meet established expectations related to after-call work, documentation, call quality, and Quality Assurance.
Serve as a secondary resource for Member Services or Provider Services call-center teams as needed.
Required Qualifications
Candidates must meet one of the following education and experience requirements:
Education & Experience
High school diploma or equivalent and at least three (3) years of experience in sales, customer service, member services, provider services, or a call-center environment;
OR
Bachelor’s degree in Healthcare, Business Administration, or a related field and at least one (1) year of experience in sales, customer service, member services, provider services, or a call-center environment.
Additional Requirements
Experience working in a fast-paced, high-volume, or performance-driven environment.
Strong sales, persuasion, and member-engagement skills.
Strong customer service, active listening, and verbal communication skills.
Ability to make a high volume of outbound calls and engage members who may be hesitant or difficult to reach.
Ability to educate and motivate members while remaining respectful, patient, and member-focused.
Strong organization, time-management, and documentation skills.
Ability to learn and work within multiple computer, email, call-center, and healthcare systems.
Dependable attendance and the ability to work the established Monday–Friday schedule.
Consistent employment history with demonstrated professional reliability.
Must reside in the state of Indiana.
Ability to work remotely from a private, secure home-office environment that protects confidential member information.
Reliable high-speed internet access that meets organizational requirements.
Must be authorized to work in the United States without the need for current or future employment-based visa sponsorship.
No clinical license, professional certification, or driver’s license is required.
Preferred Qualifications
Bilingual fluency in English and Spanish.
Previous experience working in a healthcare, managed-care, health-plan, or provider-office environment.
Experience with HEDIS outreach, healthcare quality improvement, preventive care, or care-gap closure.
Previous sales experience involving productivity goals, performance metrics, or customer engagement.
Familiarity with healthcare benefits, provider networks, preventive services, or member eligibility.
About RepuCare:
RepuCare is a certified woman-owned business with more than 30 years of experience delivering high-quality healthcare and professional staffing solutions. We are committed to operational excellence and improving outcomes through compassionate, compliant, and client-focused services.