Location:This position is located at our Dublin, OH campus with hybrid flexibility.Who weareFounded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost - that's why we call ourselves Healthcare Warriors.We're committed to building diverse and inclusive teams - more than 2,000 of us and counting - so if you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement.About the roleThe Health and Wellness Coach is responsible for conducting telephonic health coaching sessions with eligible participants. The primary function of this position is to engage the eligible participant to create and maintain a culture of health in their personal lives. The Health & Wellness Coach is responsible for developing a collaborative health coaching relationship with participants and is accountable for assisting the participant through the process of actively working towards better healthy providing support, encouragement, and education through motivational interviewing. When schedules allow, the Health & Wellness coach is responsible for assisting to take in-bound care coordination calls to assist Quantum's mission in providing the best member experience as our members navigate their healthcare journey.What you'll doUtilize evidence based coaching skills, works with members to set health related goals and develop and implement effective strategies to reach those goalsProvide coaching and education related to the following topics: nutrition, exercise, sleep, and stress management, tobacco cessationAssess health, environment, nutrition, and behavioral areas of concerns using a variety of assessmentsIn response to assessments, coach and problem solve with member to identify and address specific goal(s) to support health and behavior changeApply motivational interviewing technique when engaging with members telephonicallyUtilize PIVIT systems, documents member goals, member reported data, behavioral outcomes, and administrative details of active and non-active casesGather detailed and accurate information on assigned members and enters data into electronic systems and communication logsCreate and sustain a supportive member-focused environment for behavior changeAssures all member referrals are completed on a timely basis and documented according to client procedure.Manages time to ensure that appointments are kept and appropriate follow-up is done in a timely mannerComplete outbound calls to engage with participants that are eligible for program enrollment and will provide necessary health coaching to reduce or eliminate high-risk behaviorsComplete outbound calls to members regarding participation in Tobacco CessationComplete outbound calls to re-engage unresponsive program participants in Tobacco CessationGuide members and providers through the cost and complexity of healthcare.Answer inbound calls or online inquiries regarding claims, benefits, eligibilities, provider searches and other health-related inquires, as well as following up with members to ensure their needs have been met.Provide exceptional customer service to members, providers, office staff, and other representatives via inbound and outbound calls as well as online inquiriesUse Quantum Health's systems and technology to accurately document all contacts related to patient careConduct research on members' behalf to resolve healthcare issuesIdentify and escalate issues to appropriate team mem
Job ID: 474825424
Originally Posted on: 4/26/2025