Health Navigator-Q (Healthcare)

Location: Remote within the USA, with occasional onsite training and quarterly meetings in Chattanooga for candidates within driving distance. Schedule: Monday–Friday, 8:45 a.m.–5:15 p.m. EST.

Company

hirify.global provides health insurance and member health services through BlueCare Plus.

What you will do

• Conduct educational telephone calls about member benefits, services, programs, and health needs.
• Identify care gaps and help members locate providers, schedule appointments, and complete recommended care.
• Refer members to population health management programs and assign cases to clinical teams for outreach.
• Manage system work queues and review eligibility, prior case activity, claims, inquiries, and authorization history.
• Research and analyze member complaints, process questions, lost incentives, and other program-related inquiries.
• Work overtime as needed and complete any required immunizations or medical tests.

Requirements

• Associate degree in education, communication, or a health-related field, or equivalent work experience.
• At least 2 years of experience in a customer service support role.
• Knowledge of medical terminology.
• Strong oral and written communication, interpersonal, organizational, decision-making, and problem-solving skills.
• Ability to work independently with minimal supervision and collaborate in a team environment.
• Digital literacy assessment required.

Culture & Benefits

• Remote work with occasional onsite training and quarterly meetings in Chattanooga for eligible candidates.
• Monday–Friday schedule during EST business hours.
• Innovation and responsible use of AI-enabled tools are encouraged through established workflows, templates, and policies.
• Employee position with one opening available.