Offer summary

Qualifications:

Bachelor’s degree required., At least 3 years of experience in health benefits education or similar roles., Knowledge of HIPAA regulations and authorization processes., Experience in case management, social work, or healthcare process improvement..

Key responsibilities:

Guide members in understanding and utilizing their health benefits.

Assist members with navigating complex health situations and coordinating care.

Conduct assessments and maintain documentation of member interactions.

Participate in team meetings and quality improvement initiatives.

Job description

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

If you want to use your talents to transform healthcare in the United States, come join us!

**Ohio, Georgia, and Florida residents only**

About the Role

As a Benefit Navigator, you will be essential in guiding our members to effectively utilize their Sidecar Health benefits, ensuring they understand and navigate their policies, especially during complex health situations. You will conduct assessments, liaise between healthcare providers and the Sidecar Health team, and ensure adherence to HIPAA and other relevant protocols. In addition, you will facilitate team meetings, maintain comprehensive documentation, and actively participate in quality improvement initiatives for the Benefit Navigation team.

What You'll Do

Provide members with education on effectively utilizing their Sidecar Health benefits in accordance with their specific policy
Help members navigate their benefits when confronted with complicated health situations, aligning with the care and treatment recommended by their healthcare provider
Conduct assessments of individual members, gathering pertinent information related to their conditions and concerns, and procures HIPAA authorizations when necessary
Offer outreach on behalf of the member when needed, to ascertain the subsequent actions in the treatment plan, and good faith estimate with healthcare providers and external entities
Establish and maintain a collaborative relationship with the team to review medical documents and/or claims and engage in discussions regarding the subsequent steps and supportive interventions based on the Sidecar Health policy
Develop strategies, maintain comprehensive documentation of member interactions, and generate reports for the purpose of tracking progress and facilitating future reviews
Facilitate team meetings and actively engages in ad hoc meetings when required
Sustain an interactive relationship with the members and/or their HIPAA authorized representative (POA), by providing ongoing support for their healthcare needs
Actively engage in quality assessment and process improvement initiatives

What You'll Bring

3+ years of experience in health benefits education or similar roles - specifically working with patients and family members to overcome barriers to cancer care
Familiarity with HIPAA regulations and the process for procuring authorizations
A history of assisting clients or members in navigating complex health or insurance situations
Prior work in a collaborative team environment, especially in reviewing medical documents or insurance claims
Ability to build and maintain strong client relationships, especially in sensitive or difficult scenarios
Proven leadership or facilitation skills, especially in conducting team meetings
Experience in outreach or liaison roles, coordinating between clients and external entities like healthcare providers
Strong documentation skills, with experience in maintaining records of client or member interactions
Experience in generating and analyzing reports to track progress and aid future reviews
Bachelor’s degree
Background in case management, social work, process improvement, or similar experience within the healthcare space (Preferred)
LCSW License (Preferred)

What You'll Get

Competitive salary, bonus opportunity, and equity package
Comprehensive Medical, Dental, and Vision benefits
A 401k retirement plan
Paid vacation and company holidays
Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

In taking a market-based approach to compensation, base pay may vary depending on location. Additionally, base pay may vary considerably depending on job-related skills and experience. The current expected salary range for this position is: $70,000 - $80,000.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

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