Job Description

Job Description

Job Description

BC Forward is looking for Care Management Support Coordinator (Remote PST)

Position Title: Care Management Support Coordinator (Remote) 

Locations: Remote - PST 

Anticipated Start Dates: 11/24

Expected Duration: 3 Months 

Job Type: Contract to hire

Shift: Monday to Friday, 8:00 AM – 5:00 PM PST | No Overtime

Pay Rate $23/hr on W2.

Need: Required: HS diploma/GED, 1–2 yrs in managed care/medical admin, Microsoft Office skills; Preferred: high-volume call center (60–70 calls/day), sales or customer engagement experience, and knowledge of Managed Care, Medicaid, or Medicare.

Interview Process: 1-Phone screen, 2- Virtual Panel

Job Description:

Position Title:  Care Management Support Coordinator (CMSC)
Department: Administrative Care Management
Location: Remote (California Markets – Ambetter CA)
Schedule: Monday to Friday, 8:00 AM – 5:00 PM PST | No Overtime

Position Purpose

The Care Management Support Coordinator supports administrative care management activities by performing outreach, handling inbound calls, and scheduling services. This role serves as a key point of contact for members, providers, and internal staff to resolve inquiries, facilitate care coordination, and ensure compliance with state and regulatory requirements.

Key Responsibilities

• Conduct outbound and inbound calls to assist members with care plan next steps, scheduling, and educational resources.
• Provide guidance on available health plan and community resources to enhance member care and experience.
• Maintain accurate, non-clinical member records in accordance with compliance and regulatory guidelines.
• Support member onboarding through welcome calls, letters, and distribution of educational materials.
• Address and resolve inquiries from members and providers regarding care plans, procedures, and benefits.
• Make referrals to local programs and services addressing Social Determinants of Health (SDOH) needs.
• Apply working knowledge of health plan policies, procedures, and available resources.
• Perform other administrative or support duties as assigned.

Education & Experience

Required:

• High school diploma or GED
• 1–2 years of related experience in a managed care setting, medical office, or healthcare facility
• Proficiency in Microsoft Office applications

Preferred:

• Experience in a high-volume call center (handling 60–70 calls per day)
• Sales or customer engagement experience
• Familiarity with Managed Care, Medicaid, or Medicare

Performance Expectations

• Maintain an average of 60–70 calls per day to meet productivity goals.
• Ensure documentation accuracy and timely follow-up.
• Meet internal metrics and daily performance reports.

Ideal Candidate Profile

Must-Haves:

1. Microsoft Office proficiency
2. Proven high-volume call experience
3. Strong customer service and communication skills

Nice-to-Haves:

• Background in managed care, Medicaid/Medicare, or health plan operations
• Previous remote or metric-driven call center experience
• Demonstrated selling or engagement skills

Disqualifiers:

• No experience with high-volume call handling
• Employment gaps exceeding 1.5 years

Team & Culture

You’ll join a supportive and mission-driven team within the Ambetter CA markets, focused on connecting members with essential care management services. The team values collaboration, efficiency, and compassion while maintaining a professional, metric-driven environment.

Value Proposition

This role offers the opportunity to make a direct impact on members’ access to care and overall health outcomes. As part of a growing health plan, you’ll gain experience in case management operations, healthcare coordination, and regulatory compliance — skills highly valued across the managed care industry.

Company Description

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

Company Description

About BCforward:\r\n\r\nFounded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.\r\n\r\nBCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.\r\n\r\nBCforward is an equal opportunity employer.

Job Tags

Contract work, Work at office, Local area, Monday to Friday, Shift work,

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