BlueCross BlueShield of Tennessee · 22 hours ago
Health Navigator
United States
Full-time
Remote
Entry Level
2+ years expBlueCross BlueShield of Tennessee is seeking a dedicated Health Navigator to join the Health Promotion team within their BlueCare Plus Clinical Support division. In this role, you will be a key point of contact for members, providing compassionate support and helping them navigate their healthcare needs.
Health CareMedical
Responsibilities
Respond to member inquiries via a dedicated phone line
Assist with a variety of member needs in a timely and empathetic manner
Complete Health Risk Assessments and manage incoming faxes as part of the role’s administrative 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
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
at least one year of experience in medical office settings
at least one year of experience working with the senior population
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
H1B Sponsorship
BlueCross BlueShield of Tennessee has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (38)
2023 (36)
2022 (44)
2021 (56)
2020 (58)
Funding
Current Stage
Late StageLeadership Team
Casey Dungan
President and Chief Executive Officer - BlueCare
Melissa Scissom
COO, Cover Tenn
Recent News
2026-01-06
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