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会员关怀协调员

雇主

Calibrate

地点

远程 · 美国

待遇

$USD 20 - USD 22 / hourly

工作模式

远程

截止日期

12月12日

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岗位摘要

ABOUT US Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower.

岗位职责

ABOUT US
Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower. Designed by world leaders in metabolic health, our program combines clinical research, personalized coaching, and lifestyle intervention to deliver lasting weight loss and improved metabolic outcomes. With obesity as America’s largest chronic condition, impacting 175mm adults in a $600B market, we’re closing the care gap by offering the first value-based model in obesity treatment.
Since launching Direct-to-Consumer in 2020, we’ve expanded into Enterprise channels to improve access, and our app-based experience supports members with coaching, tailored education, daily tracking, and community engagement across the four pillars of metabolic health: food, sleep, exercise, and emotional wellbeing.
ABOUT THE ROLE
A Member Care Coordinator sits at the intersection of Member Experience and Clinical Operations. The role of a Member Care Coordinator is to ensure that members receive timely, coordinated, and high quality care; acting as the “glue” between the Clinical, Coaching, and Operational teams. They ensure smooth handoffs between teams, including but not limited to, tracking lab results, medication approvals, and any necessary follow up to ensure members proceed through their journey seamlessly.
This is a full-time, hourly role with a hourly rate of $20-22 per hour. We are offering three different shifts:
Monday - Friday 8am - 4:30pm ET
Monday - Friday 9:30am - 6pm ET
Monday - Friday 10:30am - 7pm ET
KEY RESPONSIBILITIES
Execute critical clinical administrative workflows focusing on resolving readiness barriers to accelerate members toward provider review and medication access.
Own member escalations, including issue resolution and member communication.
Facilitate provider workflow efficiency by preparing clinical documents and proactively triaging member needs for specialty support.
Facilitate structured handoffs of critical information to Clinical and Coaching teams to ensure timely follow-up regarding changes in medication, denials, or approved exception paths.
Engage in cross-functional meetings and work collaboratively with other departments to improve and maintain a high level of member care.
Identify and formally report recurring systemic issues, submission errors, or trends that contribute to operational friction.
Manage the end-to-end medication access workflow with complete ownership, including the proactive gathering of relevant clinical data, coordinating with clinicians for additional necessary information, complex Prior Authorization (PA) submission, denial investigation, appeal documentation, final determination and overrides when applicable.
Proactively contact members via phone and secure message to request necessary information (e.g., previous prescription history, documentation) and deliver clarity regarding complex PA status changes or delays.
Conduct outbound calls to insurance carriers, PBMs, and pharmacies to obtain specific case statuses, track documentation, and secure approvals.
Ensure all communication, investigation notes, and PA statuses are accurately logged in the case management system (e.g., Zendesk, MJD) to maintain a complete and auditable member record.
Initiate and resolve pharmacy-level rejections (e.g., refill too soon, insurance coding errors, wrong dose dispensed) by conducting outbound calls to dispensing pharmacies and PBM help desks.
Troubleshoot technical or administrative insurance issues that prevent successful claims processing.
BACKGROUND & EXPERIENCE
Completion of a formal medical assisting program is highly valued. Preference will be given to candidates who hold a national certification, such as Certified Medical Assistant (CMA) awarded by the AAMA or Registered Medical Assistant (RMA) awarded by the AMT.
Familiarity with case management systems (e.g., Zendesk), Electronic Health Records (EHR), and PA/e-prescribing platforms is highly desirable.
2+ years of high-volume customer service, call center, or patient advocacy experience, preferably in a healthcare, pharmacy, or PBM setting.
Demonstrated track record of managing complex, multi-step processes where follow-up and persistence are critical to success (i.e., comfortable making multiple calls to solve a single problem).
Exceptional verbal and written communication skills with the proven ability to handle challenging, escalated calls/messages with professionalism and empathy.
Ability to meet the position’s attendance and scheduling requirements in a reliable and consistent manner.
SKILLS & ATTRITBUTES
Demonstrated proficiency in medical terminology and clinical documentation to accurately interpret patient charts, understand treatment plans, and effectively communicate with clinical providers and payers.
Strong organizational skills and meticulous attention to detail in documentation.
Proficiency in interpreting and translating complex insurance terminology for the member.
Proactive problem solver with a self-starter mentality.
Ability to work independently and manage case load effectively.
BENEFITS
At Calibrate, we’re committed to putting our team members in control of their health. In 2026, we are proudly offering the following benefits:
Enjoy a generous paid time off policy, including multiple paid company holidays, wellness days, and floating holidays to support your work-life blend.
Medical, dental, and vision benefit options to keep you and your family healthy.
Calibrate-funded disability and basic life insurance, ensuring peace of mind during unforeseen events.
Access to several wellness programs, including a complimentary Headspace membership, and therapy on your schedule with Headspace Care.
Employee Assistance Programthrough Principal to receive counseling on a wide range of topics.
Remote-first ways of working, with the flexibility to work from any state.
Competitive paid parental leave program to support new parents.
OUR VALUES
Members First. Always.
Every decision starts with one question - Will this improve the health and the experience of the people we serve?
Outcomes That Matter.
We measure success through sustained weight loss and meaningful improvements in cardiometabolic health.
Integrated CareWins.
Obesity care requires more than medication alone. We combine clinical care, behavior change, and technology into one coordinated care model.
Relentless Improvement.
We continuously learn from outcomes, data, and our experience to refine our care model and raise the standard of obesity treatment.
Great Partners.
We strive to be easy to work with and trusted by patients, employers, clinicians, partners, and our fellow Calibraters.
Calibrate is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. To achieve our mission of changing the way the world treats weight, we are building an environment where every Calibrater can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values.
Originally posted on Himalayas

申请条件

- 具备临床行政或医疗协调相关工作经验
- 能够执行临床行政工作流程,解决成员准备障碍
- 具备处理成员升级问题和沟通解决的能力
- 能够准备临床文件并主动分诊成员需求
- 具备协调临床、教练和运营团队之间交接的能力
- 注重细节,能够跟踪实验室结果和药物审批
- 具备良好的沟通和人际交往能力
- 能够适应全职小时制工作,接受指定班次(周一至周五,8am-4:30pm / 9:30am-6pm / 10:30am-7pm ET)
- 了解代谢健康或肥胖护理领域者优先
- 能够在快节奏环境中同时处理多项任务

雇主简介

Calibrate是一家专注于代谢健康的数字健康公司,提供基于应用程序的肥胖护理项目,结合临床研究、个性化教练和生活方式干预,帮助用户实现持久减重和改善代谢结果。

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数据来源:Himalayas

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