Health Navigator

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct educational phone calls to inform members about the benefits, services, and programs available to them.

• Perform health needs assessments and guide members towards suitable population health management programs.

• Engage with members who have identified gaps in care and promote adherence to recommended actions.

• Aid members in finding providers and arranging appointments.

• Oversee system work queues effectively.

• Evaluate members for eligibility, previous case activities, recent claims, customer service inquiries, and authorization history.

• Allocate members to the clinical team for outreach and intervention calls.

• Investigate and analyze inquiries or complaints concerning processes, designations, lost incentives, and other program-related issues.

• Be prepared to work overtime as necessary.

⛳️ Requirements

• An associate degree in education, communication, or a health-related field, or equivalent professional experience.

• A minimum of 2 years in a customer service support role.

• Ideally, at least one year of experience in a medical office or with senior populations.

• Familiarity with medical terminology.

• Capability to work independently with little supervision or as part of a team.

• Strong interpersonal and organizational abilities.

• Effective decision-making and problem-solving skills.

• Self-driven, capable of managing multiple tasks and prioritizing effectively.

• Proficient time management skills.

• Excellent verbal and written communication skills.

• Completion of a digital literacy assessment is required.

• Various immunizations and/or related medical tests may be necessary.

🏝️ Benefits

• Opportunity for remote work.

• A remote-first work culture.

• Possible relocation assistance if moving to Chattanooga, TN is necessary.

• A collaborative and supportive team atmosphere.