BlueCross BlueShield of Tennessee · 1 day ago
Health Navigator – Women’s Health & First Year of Life (Remote)
United States
Full-time
Remote
Entry, Mid Level
2+ years expBlueCross BlueShield of Tennessee is hiring a Health Navigator to support members in our Women’s Health and First Year of Life programs. You’ll help women, new families, and caregivers navigate key health milestones—from perimenopause and well-woman care to pregnancy, postpartum, and an infant’s first year.
Health CareMedical
Responsibilities
Serve as primary contact for program members, providing education and navigation support
Conduct outreach to engage women, pregnant members, and new parents
Assist with understanding perimenopause, pregnancy, postpartum, breastfeeding, and infant wellness
Identify health and social needs; connect members to clinical teams and community resources
Support care coordination and address barriers like transportation, housing, and childcare
Document interactions and collaborate with nurses, case managers, and behavioral health professionals
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
Qualification
Required
Associates Degree in education, communication, or health related field or equivalent work experience
2 years - Experience in a customer service support role is required
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
Preferred
2+ years of experience in health navigation, care coordination, or member engagement (healthcare preferred)
Demonstrate knowledge of women's health and infant care or have a willingness to learn
Strong communication, empathy, and problem-solving skills
Skilled at remotely managing multiple systems
Passionate about supporting women and families, skilled at building trust, and motivated to improve member experiences
Benefits
Incentive Plan AEP
Company
BlueCross BlueShield of Tennessee
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Casey Dungan
President and Chief Executive Officer - BlueCare
Melissa Scissom
COO, Cover Tenn
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