SelectKids Specialist
: Job Details :

Are you passionate about making a meaningful impact in healthcare?

Join our dedicated team as a SelectKids Specialist , where you'll play a vital role in supporting one of our most vulnerable member populations-children in state custody. This position offers a unique opportunity to make a difference every day by working closely with foster families, DCS staff, and healthcare providers to ensure timely, compassionate, and effective care.

We're seeking candidates with a strong background in customer service, particularly those experienced in working with vulnerable populations. Ideal applicants will demonstrate a high level of empathy and have hands-on experience with Agent Workspace and Facets systems.

In this role, your key responsibilities will include:

• Specialized Customer Service: Serve as the first point of contact for foster parents and DCS staff, providing expert guidance and support to ensure members receive the right care at the right time and place.
• Immediate Eligibility Coordination: Facilitate prompt eligibility for children newly placed in state custody, ensuring seamless access to healthcare services without delay.
• Population Health Integration: Assess and triage member needs, connecting them swiftly to appropriate resources within our Population Health Team to support their overall well-being.

The hours for this position are: 8:00am-4:30 pm EST and 9:30am-6:00pm EST. These shifts rotate so that you will be assigned to each one approximately every two weeks.

Job Responsibilities

• Understand and retain related guidelines and procedures and be aware of physical and behavioral trauma triggers and act to engage appropriate population health staff
• Navigate through multiple systems and understand the associations of various sections of all systems as related to eligibility, PCP assignments and emails timely and accurately, including knowledge of Claims, Member and Provider profiles
• Research and problem solve requests/issues via call, email or fax and multi-task
• Ability to attend outreach events as needed.

Job Qualifications

Education

• High School Diploma or equivalent

Experience

• 1 year - Customer service experience required.

Skills\Certifications

• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Proven decision making and problem solving skills
• Excellent time and project management skills

Number of Openings Available:

1

Worker Type:

Employee

Company:

VSHP Volunteer State Health Plan, Inc

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices (

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

About Us

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.

At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability.

We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST.

BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based.

BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits.