Health Pro Consultant - US Virtual
Alight Solutions, Salt Lake City, UT, United States
As a Health Pro, you will receive extensive health care and case management training to ensure you are equipped to support members on complicated healthcare matters. Your primary responsibility is to be an advocate for members requiring guidance across the health benefits environment by helping them navigate questions about their benefits, identifying the highest quality and cost‑effective providers, and supporting them with claims, referrals, cost estimates, and more.
Gathering information about the reason the customer is seeking support or care
Educating members on benefit programs provided by clients
Translating complex benefit details (e.g., deductibles, coverage limits, prior authorizations) into clear, actionable guidance members can understand and use
Delivering provider recommendations, referral guidance, and connections to clinical or employer‑sponsored programs to support informed care decisions
Completing cost estimates and communicating out‑of‑pocket responsibility, claim results, denials, appeals, and escalation outcomes with accurate expectations and timelines
Explaining prescription formulary options, prescription alternatives, prior authorization outcomes, and available cost‑saving opportunities
Proactively identifying unmet clinical needs and owning the connection to appropriate clinical support and care resources
Connecting members to company sponsored health and benefits programs for specialized care
Providing proactive, timely updates via phone and digital channels and ensuring members feel supported through full case resolution
Navigating medical bill review results, including identified errors and savings achieved, and translating findings into clear, actionable guidance for members
Drafting carrier and client appeals for healthcare services
Coordinating records transfers and authorization requests that require pre‑service approval
This work involves leveraging developed methodologies, navigating internal tools and applications, and making external phone calls, partnering with carriers and providers (via email and phone outreach) to resolve member needs. The scope of work is dedicated at the employee level and you will be responsible for working employee cases through resolution.
You will interact with members through incoming calls, emails, and messaging system interactions. You will be responsible for utilizing exceptional communication, empathy, and problem solving skills to understand and solve complex customer needs, resulting in a better experience for the employee’s entire healthcare journey.
Benefits
A full Benefits Package, starting on your first day of employment
Health, Dental, Vision, Life Insurance and more
A 401(k) plan that includes a corporate match
Paid Time Off: 10 paid holidays per calendar year (8 fixed and 2 floating), 6 paid wellness days
Career Development & Growth
We provide ongoing training, coaching and development specific to the Health Pro role and reward continuous improvement while encouraging you to own your own development.
Required Qualifications
Minimum of 2 years of experience in a medical assistant/medical support role, or 3 years of experience working in a customer‑facing role within the healthcare industry
Ability to work effectively in a remote team environment
Strong listening, reasoning, and analytical skills – ability to listen to members’ needs and dig deeper to understand the root cause of their concern with empathy
Exceptional verbal and written communication skills – can convey complex concepts, both verbally and in writing, for members that are not benefits experts
Strong ability and desire to learn continually in a changing environment
Exceptional critical thinking and problem‑solving skills
Ability to efficiently organize work activities to meet deadlines
Passion to provide the highest level of client satisfaction
Ability to receive and immediately apply constructive feedback
Ability to develop effective rapport with clients based on empathy and trust
Proficiency in MS Office suite
Application and Interview
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test as required.
Alight requires all virtual interviews to be conducted on video.
Our Commitment to Inclusion
We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We welcome and embrace all individuals, regardless of background, and are dedicated to creating a culture that enables every employee to thrive.
As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com.
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, disability, pregnancy, marital or domestic partner status, citizenship, or any other protected characteristic. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Authorization to Work in the Employing Country
Applicants must have work authorization that does not require sponsorship of a visa for employment in the country in which they are applying.
Salary Pay Range
Minimum: 50,000.00 USD
Maximum: 50,000.00 USD
Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including but not limited to a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non‑discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
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Gathering information about the reason the customer is seeking support or care
Educating members on benefit programs provided by clients
Translating complex benefit details (e.g., deductibles, coverage limits, prior authorizations) into clear, actionable guidance members can understand and use
Delivering provider recommendations, referral guidance, and connections to clinical or employer‑sponsored programs to support informed care decisions
Completing cost estimates and communicating out‑of‑pocket responsibility, claim results, denials, appeals, and escalation outcomes with accurate expectations and timelines
Explaining prescription formulary options, prescription alternatives, prior authorization outcomes, and available cost‑saving opportunities
Proactively identifying unmet clinical needs and owning the connection to appropriate clinical support and care resources
Connecting members to company sponsored health and benefits programs for specialized care
Providing proactive, timely updates via phone and digital channels and ensuring members feel supported through full case resolution
Navigating medical bill review results, including identified errors and savings achieved, and translating findings into clear, actionable guidance for members
Drafting carrier and client appeals for healthcare services
Coordinating records transfers and authorization requests that require pre‑service approval
This work involves leveraging developed methodologies, navigating internal tools and applications, and making external phone calls, partnering with carriers and providers (via email and phone outreach) to resolve member needs. The scope of work is dedicated at the employee level and you will be responsible for working employee cases through resolution.
You will interact with members through incoming calls, emails, and messaging system interactions. You will be responsible for utilizing exceptional communication, empathy, and problem solving skills to understand and solve complex customer needs, resulting in a better experience for the employee’s entire healthcare journey.
Benefits
A full Benefits Package, starting on your first day of employment
Health, Dental, Vision, Life Insurance and more
A 401(k) plan that includes a corporate match
Paid Time Off: 10 paid holidays per calendar year (8 fixed and 2 floating), 6 paid wellness days
Career Development & Growth
We provide ongoing training, coaching and development specific to the Health Pro role and reward continuous improvement while encouraging you to own your own development.
Required Qualifications
Minimum of 2 years of experience in a medical assistant/medical support role, or 3 years of experience working in a customer‑facing role within the healthcare industry
Ability to work effectively in a remote team environment
Strong listening, reasoning, and analytical skills – ability to listen to members’ needs and dig deeper to understand the root cause of their concern with empathy
Exceptional verbal and written communication skills – can convey complex concepts, both verbally and in writing, for members that are not benefits experts
Strong ability and desire to learn continually in a changing environment
Exceptional critical thinking and problem‑solving skills
Ability to efficiently organize work activities to meet deadlines
Passion to provide the highest level of client satisfaction
Ability to receive and immediately apply constructive feedback
Ability to develop effective rapport with clients based on empathy and trust
Proficiency in MS Office suite
Application and Interview
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test as required.
Alight requires all virtual interviews to be conducted on video.
Our Commitment to Inclusion
We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We welcome and embrace all individuals, regardless of background, and are dedicated to creating a culture that enables every employee to thrive.
As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com.
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, disability, pregnancy, marital or domestic partner status, citizenship, or any other protected characteristic. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Authorization to Work in the Employing Country
Applicants must have work authorization that does not require sponsorship of a visa for employment in the country in which they are applying.
Salary Pay Range
Minimum: 50,000.00 USD
Maximum: 50,000.00 USD
Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including but not limited to a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non‑discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.
#J-18808-Ljbffr