Health Navigator (Healthcare)

Location: Remote within the United States, with an 8:00 AM–5:00 PM ET schedule and occasional rotating 9:00 AM–6:00 PM ET shifts

Company

hirify.global provides health insurance and member healthcare services.

What you will do

• Support senior-care members as they transition home after leaving a healthcare facility.
• Conduct educational telephone calls about available benefits, services, and programs.
• Complete health needs assessments and refer members to population health management programs.
• Contact members with gaps in care, help locate providers, and support appointment scheduling.
• Manage work queues by reviewing eligibility, claims, prior case activity, inquiries, and authorization history.
• Research member inquiries and complaints, assign cases for clinical outreach, and work overtime when needed.

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 and healthcare processes.
• Strong oral and written communication, interpersonal, organizational, time-management, decision-making, and problem-solving skills.
• Ability to work independently with minimal supervision and collaborate in a team environment.
• Immunizations and associated medical tests may be required; a digital literacy assessment is required.

Culture & Benefits

• Remote work within the United States in a collaborative and supportive team environment.
• Innovation and responsible use of AI-enabled tools are supported through established workflows, templates, and policies.
• Work may include occasional rotating shifts and overtime as needed.