Volunteer State Health Plan, Inc

Healthcare

HealthNavigator

$52–78k ~AI est. Tennessee, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“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.

Healthcare
Problems you'll solve

Decision-making; Problem-solving

Eligibility Requirements

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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