Health Navigator

We’re hiring a Health Navigator at BCBST!

In this role, you’ll act as a trusted guide for members—helping them understand their benefits, close gaps in care, and access the resources they need for better health outcomes. This position is primarily outbound call–focused, giving you the opportunity to proactively engage members, build meaningful connections, and support them throughout their health journey. You’ll help remove barriers by scheduling appointments, locating providers, and connecting members to programs that meet their needs, all while working closely with a collaborative team dedicated to improving both individual outcomes and overall community health.

We’re looking for someone with strong customer service experience particularly with outbound calls, experience working in a clinical setting, the ability to work independently, patience, familiarity with medical terminology, and a willingness to adapt to new technology — including the use of AI‑enabled tools.

At BCBST, we support a culture of innovation and continuous growth, including the use of AI-enabled tools to enhance how we serve our members. If you’re passionate about guiding members through their healthcare journey and contributing to improved outcomes, we encourage you to apply!

Note:
• Remote role with occasional onsite training and quarterly Chattanooga meetings (for those within driving distance)
• Schedule: Monday–Friday, 9 a.m.–6 p.m. EST

Job Responsibilities

• Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.
• Work overtime as needed
• Various immunizations and/or associated medical tests may be required for this position.
• This job requires digital literacy assessment. 

Job Qualifications

Education

• Associates Degree in, education, communication, or health related field or equivalent work experience

Experience

• 2 years - Experience in a customer service support role is required

Skills\Certifications

• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient interpersonal and organizational skills
• Independent, Sound decision-making and problem-solving skills
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Effective time management skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Knowledge in Medical terminology

Number of Openings Available

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Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.