Health Navigator

TL;DR

Health Navigator: Supporting BlueCare Plus Clinical Support by serving as a key point of contact for members navigating healthcare needs with an accent on phone-based health needs assessments, benefits education, and care coordination. Focus on managing member outreach workflows, screening eligibility and case history in queues, and documenting interactions to improve member experience.

Location: Remote (USA, TN, Chattanooga)

Company

hirify.global provides member-centered healthcare support through BlueCare Plus Clinical Support.

What you will do

• Conduct educational telephone calls to advise members on available benefits, services, and programs; complete health needs assessments and refer members to population health management programs.
• Reach out to members with identified gaps in care, encourage compliance, and help locate providers and schedule appointments.
• Manage system work queues by screening eligibility, prior case activities, recent claims, customer service inquiries, and authorization history; assign members to the clinical team for call outreach and intervention.
• Facilitate research and analysis of inquiries and/or complaints related to processes, designations, lost incentives, and other program-related questions.
• Document member interactions and support operational workflows that improve care delivery and member engagement.
• Work overtime as needed; complete required digital literacy assessment.

Requirements

• 2 years of experience in a customer service support role.
• Associate’s degree in education, communication, or a health-related field, or equivalent work experience.
• Knowledge of medical terminology.
• Strong oral and written communication skills, plus excellent interpersonal and organizational skills.
• Ability to work independently with minimal supervision and/or in a team environment with shared responsibility.
• Ability to manage multiple tasks, set priorities, and demonstrate effective time management.

Culture & Benefits

• Remote role within a collaborative and supportive team environment.
• Weekly rotating shifts: 7:30–4:00 p.m., 8:00–4:30 p.m., 8:30–5:00 p.m., and 9:00–5:30 p.m. EST.
• Overtime may be required based on business needs.
• Use AI-enabled tools responsibly to support everyday work, guided by workflows, templates, and policies.
• Various immunizations and/or associated medical tests may be required.

Hiring process

• Interviews and evaluation of communication, customer service experience, and ability to work independently.
• Assessment of digital literacy and role-related readiness.