Health Navigator

BlueCross BlueShield of Tennessee • Chattanooga, TN

14d

About The Position

As a Health Navigator , you’ll be the trusted guide for our members; helping them understand their benefits, close gaps in care, and access the resources they need to live healthier lives. This isn’t just a job; it’s a chance to empower individuals and improve communities. What Makes This Role Exciting: Impact Lives Every Day: You’ll be the voice that motivates members to take important steps toward better health. Be a Problem Solver: Help members overcome barriers by scheduling appointments, finding providers, and connecting them to programs that fit their needs. Work with Purpose: Every call you make and every solution you provide brings someone closer to better health outcomes. Collaborate and Innovate: Join a supportive team that values creativity, independence, and shared success.

Requirements

• Associates Degree in, education, communication, or health related field or equivalent work experience
• 2 years - Experience in a customer service support role is required
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient interpersonal and organizational skills
• Independent, Sound decision-making and problem-solving skills
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Effective time management skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Knowledge in Medical terminology

Nice To Haves

• Clinical Experience: Prior experience in a healthcare or managed care setting, especially in case management or care coordination.
• Member Engagement Expertise: Experience motivating patients toward compliance and healthy behaviors.
• Population Health Knowledge: Familiarity with chronic disease management, preventive care, and health promotion strategies.

Responsibilities

• Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.
• Work overtime as needed
• Various immunizations and/or associated medical tests may be required for this position.
• This job requires digital literacy assessment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees