Allied Care Navigator - Remote

Allied Benefit Systems•Chicago, IL
•$27 - $28•Remote

About The Position

The Allied Care Navigator is responsible for providing concierge-level support to members through their care journey, assisting with finding a curated list of high-quality, low-cost specialists in their network. They have a comprehensive understanding of member’s medical plan, employer point solutions available, assist with scheduling appointments, and providing ongoing assistance. They utilize their past industry experience and critical thinking in a collaborative process to review and facilitate appropriate health services and benefits for members.

Requirements

  • 2+ years of experience in member advocacy or care coordination.
  • Working knowledge of employee medical benefit plans.
  • Highly skilled in written and verbal communication.
  • Intermediate level work experience with Microsoft Office suite of products.
  • Bachelor's degree or equivalent work experience required.

Nice To Haves

  • Experience with Group health insurance and self-funded health plans preferred.

Responsibilities

  • Provide concierge-level support to members through their care journey.
  • Assist members in finding a curated list of high-quality, low-cost specialists in their network.
  • Have a comprehensive understanding of the member’s medical plan and employer point solutions.
  • Assist with scheduling appointments and providing ongoing assistance.
  • Utilize past industry experience and critical thinking to review and facilitate appropriate health services and benefits for members.
  • Maintain a professional and empathetic demeanor while being responsive to member inquiries.
  • Communicate effectively both verbally and in writing to all parties involved in the member’s referral process.
  • Ensure coordination of care is conducted and ongoing support is provided through the confirmation of services being performed.
  • Utilize best-in-class web-based tools to research high-quality and cost-effective providers in the member's network.
  • Independently manage daily tasks within internal systems within assigned turnaround times.
  • Document potential impact and savings following appointment confirmation.
  • Collaborate with internal and external partners to coordinate member care.
  • Develop and maintain written operational procedures for all tasks performed.
  • Cross-train to provide effective support to all team members.
  • Strategize with Medical Management Leadership to discuss trends identified related to member cases.

Benefits

  • Medical
  • Dental
  • Vision
  • Life and Disability Insurance
  • Generous Paid Time Off
  • Tuition Reimbursement
  • EAP
  • Technology Stipend
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