Health Navigator

BlueCross BlueShield of Tennessee•Chattanooga, TN

3d•Remote

About The Position

We’re hiring a Health Navigator at BCBST! In this role, you’ll act as a trusted guide for members—helping them understand their benefits, close gaps in care, and access the resources they need for better health outcomes. This position is primarily outbound call–focused, giving you the opportunity to proactively engage members, build meaningful connections, and support them throughout their health journey. You’ll help remove barriers by scheduling appointments, locating providers, and connecting members to programs that meet their needs, all while working closely with a collaborative team dedicated to improving both individual outcomes and overall community health. We’re looking for someone with strong customer service experience particularly with outbound calls, experience working in a clinical setting, the ability to work independently, patience, familiarity with medical terminology, and a willingness to adapt to new technology — including the use of AI‑enabled tools. At BCBST, we support a culture of innovation and continuous growth, including the use of AI-enabled tools to enhance how we serve our members. If you’re passionate about guiding members through their healthcare journey and contributing to improved outcomes, we encourage you to apply!

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
Proficient in the Microsoft Office suite, including Microsoft Teams

Nice To Haves

Experience working in a clinical setting
Familiarity with medical terminology
Willingness to adapt to new technology — including the use of AI‑enabled tools

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