Volunteer State Health Plan, Inc
Healthcare
HealthNavigator
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Health Navigator at Volunteer State Health Plan, Inc. Skills: Member support, Healthcare navigation. Conduct educational calls. Advise members of benefits”
What You'll Achieve.
Improve member experience; Contribute to improved member engagement; Contribute to improved member satisfaction
Industry & Context.
Decision-making; Problem-solving
Digital literacy assessment, Immunizations may be required
What They're Looking For.
Must Have
2 years customer service support experience
Nice to Have
Familiarity with medical terminology
What You'll Do.
Conduct educational calls
Advise members of benefits
Complete health needs assessment
Refer members to programs
Encourage member engagement
Offer assistance locating providers
Schedule appointments
Screen members for eligibility
Assign members to clinical team
Facilitate research and analysis
Work overtime as needed
How You'll Work.
Team & Collaboration
Collaborative team environment
Communication Scope
Oral communication; Written communication
Full Job Description
**We are hiring a Health Navigator at BCBST!** In this role, you will support BlueCare Plus Clinical Support at BCBST by serving as a key point of contact for members navigating their healthcare needs. You will assist members by answering questions, completing Health Risk Assessments, and ensuring timely, accurate support through both phone interactions and administrative coordination. This position combines inbound and outbound phone support with clerical responsibilities, allowing you to engage directly with members while also supporting operational workflows that contribute to effective care delivery. You will work closely with members to understand their needs, provide guidance, and help them access appropriate services and resources. You will play an important role in improving the overall member experience by delivering compassionate, member-centered support, responding to inquiries with empathy, and helping ensure smooth coordination of care. Responsibilities also include documenting interactions, supporting team processes, and contributing to improved member engagement and satisfaction. The ideal candidate has experience in a medical office setting or working with senior populations. Success in this role requires strong communication skills, patience, attention to detail, and the ability to work independently. Familiarity with medical terminology is preferred. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. **Note:** * This is a remote role within a collaborative and supportive team environment * Schedule: Weekly Rotating shifts of 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 **Job Responsibilities** * Conducting educational telephone calls
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