Health Navigator

TL;DR

Health Navigator: Acting as a trusted guide for members by conducting outbound calls to explain benefits, close care gaps, and facilitate access to health resources. Focus on proactive member engagement, utilizing AI-enabled tools to improve health outcomes, and managing complex member inquiries within a collaborative clinical environment.

Location: Remote (USA) with occasional onsite training and quarterly meetings in Chattanooga, TN for those within driving distance.

Company

hirify.global is a major health insurance provider dedicated to improving community health through innovation and member-focused care.

What you will do

• Conduct educational outbound calls to advise members on benefits, services, and health programs.
• Motivate members to close gaps in care and assist with provider location and appointment scheduling.
• Screen members for eligibility and authorization history to facilitate appropriate clinical interventions.
• Research and resolve member inquiries regarding processes, incentives, and program designations.
• Manage system work queues and collaborate with clinical teams to ensure effective outreach.
• Utilize AI-enabled tools to enhance member support and service delivery.

Requirements

• Must be based in the USA with the ability to attend occasional onsite training and meetings in Chattanooga, TN.
• 2 years of experience in a customer service support role.
• Familiarity with medical terminology.
• Strong interpersonal, organizational, and time management skills.
• Ability to work independently and adapt to new technology, including AI-enabled tools.
• Associates degree in education, communication, health-related field, or equivalent experience.

Culture & Benefits

• Supportive culture focused on innovation and continuous professional growth.
• Standard Monday–Friday schedule, 9 a.m.–6 p.m. EST.
• Opportunity to work with AI-enabled tools to improve healthcare delivery.
• Collaborative team environment dedicated to community health outcomes.