Health Advocate

Careers About Health Advocate

If you're an experienced professional seeking a position with a dynamic, rapidly growing company that provides a highly personalized and caring service, you've come to the right place.

Health Advocate, the nation’s leading healthcare advocacy and assistance company, and subsidiary of West Corporation, serves millions of members through our extensive client relationships with employers and other plan sponsors. We help members throughout the country deal with issues they encounter while accessing the healthcare and insurance systems. The company, headquartered in suburban Philadelphia with field sales offices around the country, offers a broad spectrum of cost-effective advocacy and assistance solutions, enabling employers of all sizes, employees and their families to more easily navigate the complexities of the healthcare world.

Salary and Benefits

Health Advocate offers a competitive benefits package including health and wellness benefits, 401k plan as well as opportunities for career growth and development.

EEO Statement

Health Advocate is an equal opportunity employer.

As a rapidly growing company and as one of Philadelphia magazine’s “Top 20 Best Places to Work,” we are frequently asked for details about potential job openings. In an effort to inform, listed below are descriptions of many of our positions. Theopenindicates we are actively looking to fill that position.

About Health Advocate
Appeals Specialist
open

Description

  • Achieve/exceed Call Center Metrics (ASA - <30 seconds; Abandon Rate <5%)
  • Identify target resolution for all member calls and then, if possible, ensure cases close at or near the target resolution
  • Inform members of your plan of action, expected results, and timeframes, then meet or exceed those timeframes
  • Build confidence in our services to encourage members to call back with future questions
  • Allay member anxiety and frustration
  • Add value to our services by going beyond the member’s initial request
  • Advocate for the member to receive coverage for the appropriate medical procedures, medications, and inpatient/outpatient treatment
  • Establish and maintain a network of key contacts within insurance carriers, federal and state offices, and the health insurance industry
  • Escalate members’ unpaid claims through key contacts
  • Assist members in appealing denied claims verbally or in writing when appropriate, including preparing the member for oral appeals hearings
  • Lead appeals process within federally mandated timeframes in cases where the member’s attempts have failed
  • Serve as subject matter expert in the interpretation of health insurance plan language and state and federal regulation
  • Negotiate fees on behalf of the member including facilitating communication between the member and the billing agent
  • Research denied claims and verify proper coding
  • Education members on their insurance plan provisions
  • Assist internal staff in complicated claims related cases
  • Document all cases in case management system using the SOAP method (Subjective, Objective, Assessment, Plan) when appropriate

Qualifications

  • Five or more years’ experience in health benefits or health insurance appeals preferred
  • Understanding of health plan authorizations, including medical policy and claims payment guidelines to evaluate if appeals require clinical or administrative review
  • Knowledge of applicable law and resources regarding confidentiality of privileged patient information and appeals administration
  • Knowledge of procedure and diagnosis coding (ICD-9, HCPCS, and CPT-4)
  • Familiarity with various types of health insurance coverage, coordination of benefits, and UCR fees
  • Experience in reviewing, interpreting, and researching Explanation of Benefits (EOB’s) and denial letters
  • Experience in identifying contractual appeal timeframes
  • Familiarity with benefit plan documents, certificates of coverage, and benefit contracts, and plan riders
  • Understanding of insurance carrier claims processing
  • Knowledge of Durable Medical Equipment (DME) prescription procedures and plan riders
  • Strong desire to provide outstanding customer service
  • Ability to work as part of a team
  • Ability to educate callers
  • Strong listening skills and empathy
  • Ability to ask open-ended questions and uncover information
  • Effective communication skills to interact with members, physicians, and insurance carrier representatives
  • Special ability in mediating or negotiating compromises without alienating any party
  • Ability to calm anxious callers and defusing angry or hostile callers
  • Assertive, self-confident, and resilient
  • Attention to detail and strong documentation skills
  • Proficient computer skills (Microsoft Office, Excel, Outlook, Adobe PDF, Internet Searches)

Applications will be accepted through 06/12/15.

EEO/AAP Employer-Minorities/Women/Disabled/Protected Veterans

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Applications Developer
open

Description

Health Advocate is seeking a highly qualified candidate for the position of Applications Developer. The ideal candidate will be a bright, clear-thinking problem solver with expertise in web application technologies and also demonstrates an understanding of relational databases and reporting technologies. Specifically, you will be responsible for designing and developing internal and external web-based applications and web sites that support our product vision or improve operational efficiencies.

Requirements

  • Analyze business requirements and transform them into technical design
  • Using appropriate tools, design, build and enhance externally facing web sites using primarily ASP.NET and related technologies
  • Create standards-compliant, cross-browser-compatible HTML & CSS from visual designs with pixel-level accuracy and attention to detail
  • Provide support for existing web sites that support the business
  • Proactively provide ideas and solutions towards the improvement of business operations

Qualifications

  • 10 years experience designing and developing software in an environment using a full software development lifecycle approach.
  • 5 years experience as technical team lead. Direct supervision experience is a plus.
  • Expertise in ASP.NET using C#, demonstrating object-oriented, multi-tier architecture and design
  • Expertise in HTML and CSS including thorough knowledge of cross-browser compatibility issues and SEO-friendly techniques.
  • Experience managing code releases and deploying production ready software systems
  • Experience in Waterfall and Agile development methodologies
  • Strong knowledge of SQL and experience developing data-driven web applications
  • Experience with mobile application development, HTML5, and jQuery preferred
  • Experience developing .NET Windows applications is a plus
  • Strong analytic and problem solving skills and passion for the web
  • Excellent communications and project management skills
  • College degree preferred
  • Ability to interact effectively with peers, business users and all levels of management
  • Ability to work with minimal supervision in a fast paced, dynamic environment
  • Knowledge of latest web technologies is required, as is a genuine interest in leveraging technology effectively for the good of the company

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Benefits Specialist
open

At Health Advocate, we are committed to providing our customers with services that improve the health, well-being and productivity of their employees.  We are looking for the right people with experience who can respond to benefits inquiries and assist members with plan selection decisions. Our Benefit Specialists telephonically provide high quality support to the employees of our clients. Members receive help in understanding their benefit plan offering, and direction in working through a variety of benefit issues. The Benefit Specialist will be required to interface with many internal and external resources to provide guidance and direction regarding plan options, cost factors and detailed benefit review.

Job Responsibilities:

  • Professionally answers incoming calls and respond to member inquiries.
  • Provide guidance to members on open enrollment issues, questions and concerns about benefit options.
  • Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options
  • Educate customers on health benefits options and programs offered by their employer
  • Answer customer questions related to Benefit Plans (i.e. medical, dental, life, STD, LTD), consumer-driven health plans, FSAs, provider selection, qualifying life events and the open enrollment process
  • Place outbound follow up calls for issues that can not be resolved during the initial call

Preferred Qualifications:

  • Bachelor's Degree or other applicable work experience.
  • 3 years prior benefits experience preferred
  • Strong communication skills and phone etiquette
  • Strong ability to explain complex issues to employees/retirees
  • Highly effectively listening skills
  • Strong problem solving/issue resolution skills
  • Excellent customer service and customer resolution skills
  • Experience with Microsoft Word and Excel
  • Ability to work in a team environment.

Certificates/licenses:

  • CEBS, PHR, SPHR or CBP certification a plus.
  • Completed health/life licensing coursework and/or attainment of license and completion of continuing education coursework a plus.

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Business Intelligence Analyst
open

Description

Job Scope
Health Advocate is seeking a highly qualified, hands-on candidate for the position of Business Intelligence Analyst. The selected, hands-on individual will provide advice and instruction on technical matters to database analysts and application developers. The position will require proficiency in many areas of SQL Server including Reporting Services, programming, advanced query-writing, ETL, reporting. Success in this position will require effective interpersonal skills as the position will require the individual to frequently interact with teammates, managers and personnel in user departments.

Responsibilities

  • Develop new reports in accordance with requirements gathered from business users
  • Maintain and support existing reports through modifications, troubleshooting, and performance enhancements
  • Work alongside team in developing and implementing the data warehouse, this includes cubes, data marts, and advance queries and ETL packages

Qualifications

  • Three (3) or more years of SQL Server database architecture and design experience
  • Expertise in programming using SQL and related technologies including performance tuning and troubleshooting, such as Reporting Services
  • Strong knowledge of T-SQL, SQL Reporting Services, Analysis Services, SSIS and other reporting, database, and data warehousing technologies
  • Strong analytic and problem-solving skills
  • Excellent oral and written communication and project management skills
  • Bachelor’s degree, or equivalent work experience
  • Ability to interact effectively with peers, business users and all levels of management
  • Ability to work with minimal supervision in a fast-paced, dynamic environment

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Claims Specialist
open

Our Claims Specialists are compassionate, dedicated individuals with first-rate listening and problem-solving skills who enjoy the challenge of resolving complex billing and claims issues. When a member contacts Health Advocate about a claims issue, the member establishes a relationship with one of our claims specialists who works with the member through to the resolution of their problem.

Job Description- As a Claims Specialist, you will:

  • Research and solve claims and billing issues
  • Interface with insurance carriers, physicians, hospitals and other healthcare providers
  • Help members with eligibility and benefits coverage questions
  • Assist in negotiating fees with healthcare providers on behalf of members

Qualifications

  • Must have 3 years medical and/or dental billing/claims experience
  • Must have experience working with health plan documents, benefit plans
  • Must have excellent customer service skills
  • Experience with fee negotiation desirable
  • Ability to follow-up with health plans, providers and members to resolve questions and problems
  • Knowledge of CPT, ICD-9 and HCPCS coding
  • Top-notch verbal and written communication skills
  • Proficiency with various software applications (Outlook, Excel, Word) and computer systems
  • Familiarity with the web/Internet
  • Ability to work flexible weekdays, including some evenings until 9 PM
  • Bilingual in Spanish/English a plus

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Customer Care Associate
open

Our Customer Care Associates are compassionate and dedicated professionals with exceptional listening skills who assist our members in navigating the healthcare system. They work as part of a team and demonstrate customer service excellence.

Essential Job Functions

  • Receives member?s pre-service requests on the toll free 800#, determines needs, gets demographic information and directs to proper area of responsibility, if it is symptom related or post-service request.
  • If the caller is requesting routine locator information, the Customer Care Associate can help them directly (e.g. eldercare assistance, health and Rx plan schedules, identifying resources for employer health plans).
  • Achieve or exceed Call Center Metrics.
  • Assist members and their families with basic healthcare questions and helps them to understand and utilize their health insurance benefits coverage. This request can come from the member or from another member of the Health Advocate staff
  • Handle routine to moderate issues with regular supervision such as answering member questions, dealing with irate members and assisting other departments with their member cases.
  • Regular contact with members, physician office receptionist and insurance carrier customer service representatives.

Requirements

  • Achieve/exceed call center metrics (ASA=<30 seconds; Abandon Rate = <5%)
  • Identify target resolution for all member calls and then, if possible, ensure cases close at or near the target resolution
  • Inform members of your plan of action, expected results and timeframes, then meet or exceed those timeframes
  • Build confidence in our services to encourage members to call back with future questions.
  • Allay member anxiety and frustration
  • Add value to our services by going beyond the member?s initial request
  • Locate providers for routine care (non-symptom based) using HA?s policy and procedure
  • Assist PHA?s in the location of healthcare providers
  • Research of employer group plan documentation, and the communication with insurance carrier representatives
  • Clarify insurance plan provisions to members
  • Link members to the appropriate health care services and providers; locate participating providers
  • Assist seniors and their families in finding senior housing and care facilities, health and prescription plans
  • Document all cases in case management system using the SOAP method (Subjective, Objective, Assessment, Plan) when appropriate
  • Research, locate services as requested by members including gym and exercise classes, smoking cessation programs
  • Intercedes for the member to obtain earlier appointments

Other Skills/Abilities

  • College degree or one to three years customer service experience, preferably in healthcare
  • Understanding of basic medical terminology to assist in locating appropriate care options
  • Telephone triage experience helpful
  • Understanding of health benefit plans and the insurance industry
  • Understanding of medical procedures, including billing, diagnosis codes and pre-certification
  • Understanding of Home Care Services
  • Strong desire to provide outstanding customer service
  • Ability to work as part of a team
  • Ability to educate callers
  • Strong listening skills and empathy
  • Ability to ask open-ended questions and uncover information
  • Effective communication skills to interact with members, physicians, and insurance carrier representatives
  • Ability to calm anxious callers and defusing angry or hostile callers
  • Assertive, self-confident and resilient
  • Attention to detail and strong documentation skills
  • Demonstrate appropriate judgment in escalating cases in a timely manner to supervisors
  • Ability to think outside the box
  • Well organized, meticulous attention to detail with ability to multi-task
  • Proficient computer skills (Microsoft Office, Excel, Outlook, Adobe PDF, Internet Searches)

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Customer Care Associate - Full-time, Evening
open

Our Customer Care Associates are compassionate and dedicated professionals with exceptional listening skills who assist our members in navigating the healthcare system. They work as part of a team and demonstrate customer service excellence.

Job Description- As a Customer Care Associate, you will:

  • Assist in locating primary care physicians and dentists
  • Thoroughly explain benefit plans to members
  • Work as a team member to assist nurses in researching providers, eldercare, nursing homes
  • Identify resources and options to assist members
  • Concisely and accurately enter documentation into system
  • Initial intake/triage of incoming calls- responsible for inputting demographic information into the system and getting the member to the right person

Qualifications

  • Excellent verbal and written communication skills required for speaking to members, physicians’ offices, hospitals, insurance companies, healthcare facilities and for noting this in computer system for follow-up
  • Attention to detail required for tracking cases and following-up with members and providers on a timely basis
  • Must be organized and have ability to multi-task and handle multiple cases
  • Team player – willing to learn, assist and help other team members as required
  • Must have excellent customer service skills
  • A minimum of one year experience in healthcare
  • Bilingual in Spanish/English a plus

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Customer Care Associate - Part-time, Evening
open

Essential Job Functions

  • Receives member’s pre-service requests on the toll free 800#, determines needs, gets demographic information and directs to proper area of responsibility, if it is symptom related or post-service request.
  • If the caller is requesting routine locator information, the Customer Care Associate can help them directly (e.g. eldercare assistance, health and Rx plan schedules, identifying resources for employer health plans).
  • Achieve or exceed Call Center Metrics.
  • Assist members and their families with basic healthcare questions and helps them to understand and utilize their health insurance benefits coverage. This request can come from the member or from another member of the Health Advocate staff
  • Handle routine to moderate issues with regular supervision such as answering member questions, dealing with irate members and assisting other departments with their member cases.
  • Regular contact with members, physician office receptionist and insurance carrier customer service representatives.

Requirements

  • Achieve/exceed call center metrics (ASA=<30 seconds; Abandon Rate = <5%)
  • Identify target resolution for all member calls and then, if possible, ensure cases close at or near the target resolution
  • Inform members of your plan of action, expected results and timeframes, then meet or exceed those timeframes
  • Build confidence in our services to encourage members to call back with future questions.
  • Allay member anxiety and frustration
  • Add value to our services by going beyond the member’s initial request
  • Locate providers for routine care (non-symptom based) using HA’s policy and procedure
  • Assist PHA’s in the location of healthcare providers
  • Research of employer group plan documentation, and the communication with insurance carrier representatives
  • Clarify insurance plan provisions to members
  • Link members to the appropriate health care services and providers; locate participating providers
  • Assist seniors and their families in finding senior housing and care facilities, health and prescription plans
  • Document all cases in case management system using the SOAP method (Subjective, Objective, Assessment, Plan) when appropriate
  • Research, locate services as requested by members including gym and exercise classes, smoking cessation programs
  • Intercedes for the member to obtain earlier appointments

Other Skills/Abilities

  • College degree or one to three years customer service experience, preferably in healthcare
  • Understanding of basic medical terminology to assist in locating appropriate care options
  • Telephone triage experience helpful
  • Understanding of health benefit plans and the insurance industry
  • Understanding of medical procedures, including billing, diagnosis codes and pre-certification
  • Understanding of Home Care Services
  • Strong desire to provide outstanding customer service
  • Ability to work as part of a team
  • Ability to educate callers
  • Strong listening skills and empathy
  • Ability to ask open-ended questions and uncover information
  • Effective communication skills to interact with members, physicians, and insurance carrier representatives
  • Ability to calm anxious callers and defusing angry or hostile callers
  • Assertive, self-confident and resilient
  • Attention to detail and strong documentation skills
  • Demonstrate appropriate judgment in escalating cases in a timely manner to supervisors
  • Ability to think outside the box
  • Well organized, meticulous attention to detail with ability to multi-task
  • Proficient computer skills (Microsoft Office, Excel, Outlook, Adobe PDF, Internet Searches)

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
E2H Associate Consultant
closed

Company: Engage2Health, a Health Advocate Company

Location: Westlake Village, CA

Company Description:

Engage2Health (e2H) is the analytics and informatics division of Health Advocate, Inc., a subsidiary of West Corporation. Health Advocate, Inc., the nation's leading healthcare advocacy and assistance company, offers a range of personalized services to help employees and their families navigate the complex health and insurance systems and helps employers improve health care outcomes and reduce medical expenditures. The company serves more than 9,000 clients and nearly 24 million people across the country.

In order to continue to serve the needs of our clients, we are strengthening our focus on health services and outcomes research and population management interventions. We will integrate complex sources of health care data to provide customized solutions that promote quality and value in health care. We are committed to the academic integrity of our programs and will be designing and publishing peer-reviewed studies that will adhere to rigorous scientific and academic standards.

The Position:

Under minimal supervision, the Associate Consultant will be responsible for performing qualitative and quantitative analysis on a wide array of issues across disciplines, projects and functional areas, including analyses performed on health care data. The primary duties include managing the day-to-day operational aspects of a client?s project and scope, project deliverables, synthesizing analytical data, report writing, data acquisition, data validation, clinical research and active participation in product development.

Key Responsibilities:

  • Overall, assist with the design, execution, analysis, recommendation development, and reporting of projects for global pharmaceutical and biotechnology clients. Candidates will take on one or more of the following responsibilities:

    • Perform literature reviews and undertake secondary research initiatives including the retrieval and analysis of data, competitive product pipeline information, epidemiology trends, etc.
    • Conduct primary research to evaluate market perceptions of new and existing products, including health economic endpoints, product claims, pricing, positioning, etc. and inform strategic recommendations
    • Develop health related communications, including dossiers, abstracts, manuscripts, posters, etc.
    • Implement retrospective analyses through the design, collection and statistical analysis (in SAS) of databases
    • Develop health economic models to perform cost-effectiveness and budget impact analyses
    • Summarize, synthesize, and interpret data including disease-specific and pharmaceutical product research

Skills

  • Demonstrated problem solving, analytical reasoning, and decision-making skills
  • Strong multi-tasking and organizational abilities
  • Sense of urgency necessary to meet goals, objectives, and deadlines
  • Excellent interpersonal, verbal, and written communications skills
  • Demonstrated leadership abilities, accountability, and initiative
  • Advanced level of Excel based analytics
  • Proficiency in SAS and/or STATA strongly preferred

Qualifications, Training, Education and Experience:

  • Strong interest in and knowledge of biostatistics, research methods, epidemiology, modeling, and/or healthcare/pharmaceutical industry
  • Bachelor?s degree with an emphasis in economics, statistics, engineering, public health, public policy, health sciences or business required
  • Masters of Doctorate degree in a scientific discipline, public health, business administration, or relevant area preferred
  • 1 to 3 years of professional experience, preferably in strategy consulting, market research, pharmaceuticals / biotechnology, or managed care organizations

Compensation:

Includes a competitive base salary, incentives and a full employee benefits package

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
HA Intake Supervisor
open

Essential Job Functions:

  • Responsible for the administrative functions and supervision of the Triage/Intake unit. This includes backlog and quality management for a small team of customer Care Associates
  • Provide organization, direction and staffing for all assigned service calls and case load assistance to ensure that all calls are answered in accordance with Health Advocate’s policies and procedures
  • Monitor calls and audit case files daily to ensure the proper target resolution is identified and that, if possible, the case is closed at or near the target resolution
  • Ensure assigned staff members meet or exceed the standards, results and responsibilities of their respective positions
  • Coach, mentor, and evaluate the performance of an assigned team
  • Assist in the selection, counseling, and discipline of all staff on the team
  • Provide oversight and direction to staff for assigned cases
  • Responsible for problem-solving issues and coordinating efforts with internal departments and subject matter experts
  • Routinely evaluate and monitor service calls and case management procedures to recommend any necessary changes to the Director of Operations
  • Escalate cases through the appropriate channels in accordance with Health Advocate’s policies and procedures

Qualifications:

  • Bachelor’s Degree or applicable work experience
  • Management or supervisory experience in a Call Center setting (benefits and/or claims processing supervisory experience a plus)
  • Strong leadership skills and the ability to build effective teams
  • Effective communication skills to interact with members, physicians, and insurance carrier representatives, with an emphasis on ability to communicate both verbally and in writing
  • Assertive, self-confident and resilient
  • Basic computer skills
  • Ability to search and identify resources through the internet
  • Demonstrated ability to communicate concepts, strategies and plans in terminology understood by business professionals
  • Familiarity with various types of health insurance coverage, coordination of benefits and UCR fees

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Information Security Adminstrator
open

Description

If you're an experienced professional seeking a position with a dynamic, rapidly growing company that provides a highly personalized and caring service, you've come to the right place.

Health Advocate™, Inc., is the nation’s leading independent healthcare advocacy and assistance company. We help millions of Americans personally navigate the often complex healthcare system. Our leading-edge solutions include EmpoweredHealth, a fully integrated program that seamlessly combines health advocacy, wellness coaching, EAP+Work/Life and chronic care solutions. We also leverage the power of data analytics to help members make more informed decisions and get more value out of the healthcare system.

Salary and Benefits:
Health Advocate offers a competitive benefits package including health and wellness benefits, 401k plan as well as opportunities for career growth and development.

Job Scope:
The Information Security Administrator is responsible for supporting the development and management of Health Advocate’s information security program. The Information Security Administrator position will encompass responsibilities in the following areas: access control administration, patch and vulnerability management on the environment, compliance and risk management related activities to comply with SOC 2, West Corporation, and Health Advocate client security requirements.

Qualifications

  • Bachelor (4-year) degree desired, with a technical major, such as engineering or computer science
  • 3+ years experience desired specifically focusing on information security issues
  • GSEC or similar technical certification desired
  • Technical background with a solid history of delivering outstanding customer service and support
  • Ability to interact effectively with peers, business users and all levels of management
  • Very strong organizational, task management, and prioritization skills, along with the ability to display strong sense of urgency
  • Ability to work with minimal supervision in a fast paced, dynamic environment
  • Good oral and written communication skills as well as the ability to multi-task

Applications will be accepted through 06/17/15.

EEO/AAP Employer-Minorities/Women/Disabled/Protected Veterans

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Proposal Writer
open

Essential Job Functions:

  • Writing custom responses to RFPs and RFIs while managing multiple deadlines
  • Managing all aspects of RFP and RFI responses, including from inception through production
  • Working closely with sales representatives, product specialists, account managers, operations, the legal department, and other areas within the organization to coordinate information and formulate strategic responses
  • Understanding and persuasively writing about a comprehensive suite of products and product combinations
  • Ongoing construction and maintenance of company’s internal database of approved RFP and RFI responses

Qualifications:

  • Excellent writing, editing, critical thinking and time management skills
  • Bachelor’s degree in English, business communications, journalism or marketing required
  • Three to five years of relevant experience
  • Strong verbal communication skills
  • Superior project management abilities
  • Excellent attention to detail
  • Capacity for learning large volume of general and technical information
  • Confident personality needed to assertively interact and follow up with personnel from various departments

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Quality Assurance Analyst
closed

Description

Health Advocate, the nation’s leading healthcare advocacy and assistance company, serves millions of members through our extensive client relationships with employers and other plan sponsors. We help members throughout the country deal with issues they encounter while accessing the healthcare and insurance systems. The company, headquartered in suburban Philadelphia with field sales offices around the country, offers a broad spectrum of cost-effective advocacy and assistance solutions, enabling employers of all sizes, employees and their families to more easily navigate the complexities of the healthcare world.

Position Objective

Provides mission critical software testing and analysis as well as user documentation and corporate training of proprietary software systems.

Job Scope

We currently seek a Quality Assurance Engineer for our Plymouth Meeting office. Prior experience as a quality assurance tester is required. Prior health and wellness experience is preferred. This position will be hands on.

Requirements

  • Collaborate with Software Engineers and Project Managers to define testing strategies for projects
  • Work with Product and Development to automate test cases
  • Create test scenarios and test cases in automated testing tools around the business functionality being developed
  • Create and execute test plans /checklists
  • Maintain test plan library for subsequent site releases
  • Regression testing of complex, database driven web applications
  • Perform defect / issue / bug tracking
  • Test work in progress from on shore and off shore development team members to verify the work meets client functional requirements
  • Perform cross-browser/platform/OS compatibility testing while applying standard QA methods/best practices relevant to interactive media development process
  • Proofreading and content validation
  • Validate HTML deliverable rendering in various industry standard browsers
  • Identify and track defects in our SDLC collaboration tool – Microsoft Team Foundation Server
  • Develop user documentation and conduct training for users of in house software systems

Qualifications

  • 5 years’ experience in a software testing / quality assurance role
  • College degree preferred
  • Experience in authoring user documentation and training users on software systems
  • Able to create test scripts and regression plans
  • Able to understand technical guidelines and test against them
  • Strong understanding of QA tools/methodologies
  • Knowledge of standard web applications, rich web technologies (e.g., Web 2.0, HTML, browsers, Flash, etc.)
  • Strong experience in testing web pages in modern browsers (Explorer, Firefox, Safari, Chrome)
  • Experience in using SDLC collaboration tools (TFS, Rally, JIRA)
  • Proofreading skills
  • Attention to small details is a MUST
  • Solid organizational skills
  • Excellent oral and written communication skills
  • 3+ years of experience using the automation tools
  • .NET /MS SQL/HTML/CSS experience a plus

Working Conditions

  • Responsibilities sometimes require working evenings and weekends, usually with advance notice but sometimes with little advanced notice.
  • No regular travel required.

Applications will be accepted through 06/04/2015.

EEO/AAP Employer-Minorities/Women/Disabled/Protected Veterans

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
R.N. - Personal Health Advocate
open

Description

Position Overview

At Health Advocate, we are committed to providing our customers with services that improve the health, well-being and productivity of their employees. The Personal Health Advocates are a dedicated team of Registered Nurses who assist our members in navigating the healthcare system by facilitating access to healthcare providers, health and benefit information, health services and resources and entitled benefits coverage.

Essential Job Functions

  • Professionally answers incoming calls and respond to client inquiries
  • Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options.
  • Educate members regarding healthcare issues and options.
  • Provide members choices in medical care providers and services based on the members’ clinical needs, geographic locations and available benefit offerings.
  • Research providers through credentialing, education checks and affiliations with notable medical centers.
  • Facilitate communication among members, treating physicians and insurance carriers.
  • Help members understand their medical condition, reasons why a certain test is being performed and what to expect from the results.
  • Help members ask the right questions of their doctor.
  • Intercede for the member to obtain an earlier appointment.
  • Ensure member receives proper follow-up care after inpatient discharge
  • Help members obtain prescriptions
  • Help members with pre-service fee negotiations
  • Place outbound follow up calls for issues that cannot be resolved during the initial call
  • Respond to member cases in delegate box, answers and after hours calls
  • Mentor new team members
  • Work in-house and permanent

Qualifications

Other Skills/Abilities

  • Minimum three to five years clinical and/or medical management experience
  • Active and unrestricted State or Multi-State RN License
  • Understanding of medical terminology to assist in locating appropriate care options
  • Strong Communication skills and phone etiquette
  • Strong ability to explain complex issues to employees/retirees
  • Highly effective listening skills
  • Strong problem solving/issues resolution skills
  • Excellent customer service and customer resolution skills
  • Organizational and administrative skills
  • Experience with Microsoft Word and Excel
  • Ability to work in a team environment

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Senior HA Claims Specialist
open

Description

  • Professionally answers incoming calls and respond to client inquiries
  • Provides guidance to members on open enrollment issues and benefit options. This includes compare and contrast benefits during Open Enrollment and Special Enrollment Periods.
  • Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options.
  • Answer customer questions related to Benefit Plans, including the following topics:
    • Health Care Reform
    • Marketplace navigation
    • Exchange plan review and comparison
    • COBRA
    • Medicare A, B, MediGap, Meciare Part D plans
    • High deductible health plans
    • Flex Spending Accounts, Health Savings Accounts, and Health Reimbursement Accounts
    • Coordination of Benefits and which plan is primary – simple cases (commercial plans, Medicare Plans)
    • Summary Plan Documents
    • Government programs and resources
    • Legislation and mandates
    • Fully insured and self-insured
    • Pharmacy benefits including injectable medications
  • Facilitate obtaining member’s medical records
  • Handle complex benefit cases
  • Handle Client Care cases
  • Place outbound follow up calls for issues that cannot be resolved during the initial call
  • Respond to member cases in delegate box, answers and after hours calls
  • Assist as a team lead role
  • Help monitoring the queue as needed

Qualifications

  • Bachelor’s degree or other applicable work experience
  • Minimum 3 years benefit experience
  • Strong Communication skills and phone etiquette
  • Strong ability to explain complex issues to employees/retirees
  • Highly effective listening skills
  • Strong problem solving/issues resolution skills
  • Excellent customer service and customer resolution skills
  • Organizational and administrative skills
  • Experience with Microsoft Word and Excel
  • Ability to work in a team environment
  • Extremely familiar with BENEFITS clients and their benefits
  • Mentors new team members and team members who need assistance with performance improvement
  • Work in-house and permanent
  • Strong leadership skills

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Senior Health Outcomes Researcher
closed

Company: Engage2Health, a Health Advocate Company

Location: Westlake Village, CA

Company Description:

Health Advocate, Inc., the nation?s leading independent healthcare advocacy and assistance company, serves 40 million Americans nationwide through its more than 8,500 client relationships. Engage2Health (e2H), a division of Health Advocate, specializes in health informatics and data-driven interventions with many years of combined clinical, quantitative and analytic expertise. E2H conducts health services and outcomes research within the private sector. Our research and development staff is made up of a group of highly motivated and innovative specialists with advanced degrees in medicine, health services research, epidemiology, mathematics and statistics. The team and this position will be based in Westlake Village, California, not far from Los Angeles.

Job Description:

The Senior Health Outcomes Researcher works with large claims databases, will conduct health outcomes research, develop predictive models and perform statistical analysis. Assists in developing outcomes research plans and outlines the strategic approach for generating required evidence and research outputs. The individual will participate in day-to-day operations, business development and client interactions.

Key Responsibilities:

  • Implement retrospective analyses through the design, collection and statistical analysis (in SAS) of databases.
  • Develop health economic models to perform cost-effectiveness and budget impact analyses.
  • Conduct primary research to evaluate adherence to evidence based medicine, including health economic endpoints and inform strategic recommendations
  • Develop health related communications, including dossiers, abstracts, manuscripts, posters, etc.
  • Conduct advanced health outcomes analysis using claims data, eligibility files and other ancillary data such as lab and pharmacy data
  • Conduct predictive modeling to identify populations at risk
  • Conduct sophisticated regression models and interprets results
  • Actively manage and lead client interactions regarding our informatics services
  • Provide research direction for the company and promote e2H externally through activities and presentations

Qualifications, Training and Experience:

  • Strong interest in and knowledge of biostatistics, research methods, epidemiology, modeling, and/or healthcare/pharmaceutical industry
  • Ph.D., in Statistics; Health Economics; Health Services Research, etc., with 2-3 years of experience is highly desirable
  • Master?s degree in Health Economics and outcomes Research (HEOR) related field and 4-5 years of experience conducting HEOR research (Related field include: Economics, Psychometrics, Health Policy and Outcomes Research).

Preferred:

  • Demonstrated problem solving, analytical reasoning, and decision-making skills
  • Strong multi-tasking and organizational abilities
  • Sense of urgency necessary to meet goals, objectives, and deadlines
  • Exercise independent judgment
  • Ability to multi-task, prioritize and manage complex projects and timelines in a matrix team environment
  • Ability to lead and coach others
  • Excellent interpersonal, verbal, and written communications skills
  • Demonstrated leadership abilities, accountability, and initiative
  • Proficiency in Microsoft Office (PowerPoint, Excel, Word)
  • Proficiency in SAS and/or STATA highly preferred

Compensation:

Includes a competitive base salary, incentives and a full employee benefits package.

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Senior Statistician
closed

Company: Engage2Health, a Health Advocate Company

Location: Westlake Village, CA

Company Description:

Engage2Health (e2H) is the analytics and informatics division of Health Advocate, Inc., a subsidiary of West Corporation. Health Advocate is the nation’s leading health care advocacy and assistance company, serving more than 9,000 clients and nearly 24 million people across the country. The company offers a range of personalized services to help employees and their families navigate the complex health and insurance systems. The ultimate goal is to help improve employee health care outcomes while simultaneously reducing medical expenditures.

In order to serve the needs of a diverse clientele, engage2Health specializes in health services and outcomes research and population management interventions. The e2H team integrates complex sources of health care data to provide customized solutions that promote quality and value in health care. The company is committed to the academic integrity of its programs and maintains a portfolio of peer-reviewed studies that adhere to rigorous scientific standards.

Job Description:

  • Work as part of a collaborative team in a dynamic environment as senior statistician methodologist
  • Provide statistical methodology and project management support for peer-reviewed level data analysis, both ongoing and custom studies
  • Develop tactical study plans in answer to business questions
  • Perform quantitative research, and provide written summaries of study results
  • Define research requirements, identify viable research designs, and design appropriate data collection strategies
  • Provide clients with relative costs and benefits of alternative approaches, and assist them in selecting approaches that maximize rigor within organizational constraints
  • Select and implement statistical analysis appropriate to the problems
  • Effectively communicate in written documents and oral briefings why studies were initiated, justification of methods selected, results, conclusions, and recommendations
  • Engage clients on design and methodological issues in a manner consistent with their needs and expectations
  • Evaluate the relative advantage of collecting new data versus using extant data
  • Define statistical design and methodology to meet client information needs
  • Conduct statistical analyses to derive conclusions, and identify new opportunities for standard reports and for value-added analytics
  • Consult with clients on design and methodology and provide input for client proposals
  • Work on projects of complex scope where independent judgment is used within a broad range of defined procedures and practices
  • Develop new applications and methodologies for existing or newly acquired data
  • Lead design efforts in selecting statistical methodology for use in the development and launch of new products

Key Responsibilities Include:

  • Conduct advanced health outcomes analysis using claims data, eligibility files and other ancillary data such as lab and pharmacy data
  • Participate in developing predictive modeling to identify populations at risk
  • Participate in creating sophisticated regression models and interprets results
  • Implement retrospective analyses through the design, collection and statistical analysis (in SAS) of databases using claims data
  • Prepare, write, and coauthor peer reviewed level manuscripts
  • Actively manage and lead client interactions regarding our data analyst services
  • Providing R&D direction for the company and promote e2H externally through activities and presentations
  • Develop health economic models to perform cost-effectiveness analyses

Required Qualifications:

  • Must have a minimum of 5 years' experience in advanced data analytics
  • Master's Degree in a field using advanced data analytics or a Ph.D. with three years of experience
  • Exceptionally strong methodological and analytic skills
  • Advanced proficiency in statistical programming software, (e.g. SAS, R, SPSS)
  • Experience working with Bayesian Methods
  • Excellent oral and written communication skills, including visual representation of data using charts and graphs
  • Ability to work under stringent deadlines, balance multiple tasks, and remain client focused

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
User Interface Developer
open

Description

Job Scope
Health Advocate is seeking a highly qualified candidate for the position of User Interface Developer. The ideal candidate will be a bright, clear-thinking problem solver with expertise in web application technologies and also demonstrates an understanding of good graphical design and user experience principles. Specifically, you will be responsible for designing and developing internal and external web-based applications and web sites that support our product vision or improve operational efficiencies.

Requirements

  • Create standards-compliant, cross-browser-compatible HTML & CSS from visual designs with pixel-level accuracy and attention to detail
  • Develop rich user interfaces and graphical front-end components
  • Provide support for existing web sites that support the business
  • Proactively provide ideas and solutions towards the improvement of business operations

Qualifications

  • 4 years experience with HTML and CSS including thorough knowledge of cross-browser compatibility issues and SEO-friendly techniques
  • Experience with mobile compatible development, HTML5, and jQuery
  • Experience with Adobe Photoshop and image optimization techniques required
  • Experience with interactive marketing initiatives including e-mail marketing campaigns and social media preferred
  • Experience with enterprise level content management systems (CMS) is a plus
  • Experience with Google Analytics preferred
  • Experience in ASP.NET and C# preferred
  • Experience with third party controls like Telerik preferred
  • Experience in Waterfall and Agile development methodologies
  • Strong analytic and problem solving skills and passion for the web
  • Excellent communications and project management skills
  • College degree preferred
  • Ability to interact effectively with peers, business users and all levels of management
  • Ability to work with minimal supervision in a fast paced, dynamic environment
  • Knowledge of latest web technologies is required, as is a genuine interest in leveraging technology effectively for the good of the company

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Web Developer
open

Description

  • Analyze business requirements and transform them into technical design
  • Using appropriate tools, design, build and enhance externally facing web sites using primarily ASP.NET and related technologies
  • Provide support for existing web sites that support the business
  • Proactively provide ideas and solutions towards the improvement of business operations

Qualifications

  • 4 years’ experience designing and developing software in an environment using a full software development lifecycle approach
  • Expertise in ASP.NET development using C#, demonstrating object-oriented, multi-tier architecture and design
  • Experience with front-end web development using valid XHTML, JavaScript, and CSS for positioning
  • Experience managing code releases and deploying production ready software systems
  • Experience in Waterfall and Agile development methodologies
  • Strong knowledge of SQL and experience developing data-driven web applications
  • Experience with third party controls like Telerik preferred
  • Experience developing .NET Windows applications is a plus
  • Strong analytic and problem solving skills and passion for the web
  • Excellent communications and project management skills
  • College degree preferred
  • Ability to interact effectively with peers, business users and all levels of management
  • Ability to work with minimal supervision in a fast paced, dynamic environment
  • Knowledge of latest web technologies is required, as is a genuine interest in leveraging technology effectively for the good of the company

Click to view the job on the West Careers portal and to apply online.

About Health Advocate
Wellness Program Consultant
closed

Description

Position Overview

Health Advocate is seeking a Wellness Program Consultant/Account Manager to work with existing clients on the design and delivery of wellness services. This individual must be a go getter with a roll-up-your-sleeves mentality, process-oriented, detail-oriented, tech savvy, highly analytical, organized, have excellent relationship building skills, excellent communication skills, be a team player, creative, motivated, have a strong work ethic, positive attitude and, definitely, a sense of humor.

The individual will be responsible for being the primary business liaison for the client as it relates to the wellness services, having a key role in ensuring account satisfaction and retention. The WPC function is an integral role in building and sustaining Health Advocate’s client relationships. The intent is to assist in delivering the highest quality service while adhering to the mission and goals Health Advocate has established to provide best in class wellness services to its clients.

Essential Job Functions

  • Provide direction, coordination and consultation to clients in the delivery of wellness services
  • Make recommendations for wellness incentives and assist clients in the design, implementation, and on-going strategy of their wellness programs
  • Drive increased utilization and engagement within the wellness program
  • Generate and analyze client utilization reports
  • Work with a team which fosters the delivery of high quality services and promotes exceptional customer service
  • Aid client with communications, promotions and educational materials
  • Identify and develop initiatives to leverage existing partnerships, expanding business opportunities
  • Travel on a proactive, as-needed basis
  • Participate in sales and finalist presentations when necessary

Qualifications

Requirements

  • BA/BS
  • Minimum one year experience in the corporate wellness industry
  • Experience managing a book of business / multiple clients
  • Ability to work independently and with a team
  • Problem solver
  • High level of self-initiative
  • Excellent writing, communication and presentation skills
  • Comfortable using Microsoft office suite
  • Comfortable navigating the internet
  • You consider yourself tech-savvy

Preferred but not required background

  • Experience in the health insurance, human resources, or similar industry
  • Experience using Salesforce.com or similar Customer Relationship Management platform

Click to view the job on the West Careers portal and to apply online.

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