Health Navigator-Q

BlueCross BlueShield of Tennessee, Inc.; Chattanooga (TN); Remote; USD 45,000 - 65,000; Full time

Job summary

BlueCross BlueShield of Tennessee, Inc. is seeking a Health Navigator to assist members with benefits, scheduling wellness visits, and coordinating follow-up care. You will explain benefits, help close gaps in care, and connect members to community programs, while working to improve health outcomes.

The role emphasizes strong communication, independence, and healthcare knowledge. This remote-first position supports the BlueCare Plus team and may include occasional onsite training in Chattanooga,

Qualifications

• Associates Degree in education, communication, or health-related field or equivalent work experience.
• At least 2 years in a customer service support role.

Responsibilities

• Educate and inform members about benefits, services, and programs.
• Assist with health needs assessments and referrals to population health programs.
• Schedule appointments, locate providers, and coordinate care follow-up.

Skills

Communication skills

Patience

Independent work

Customer service

Medical terminology

Healthcare experience

Education

Associates Degree

Health-related field

Education

Tools

Microsoft Office

Microsoft Teams

Job description

We are hiring a Health Navigator at BCBST! In this role, you will support the BlueCare Plus team by helping members schedule wellness visits, coordinate follow-up care, and address their needs at home. You’ll act as a trusted guide, helping members understand their benefits, close gaps in care, and access the resources they need to live healthier lives. You will serve as a key point of contact for members, motivating them to take important steps toward better health by helping overcome barriers such as scheduling appointments, finding providers, and connecting to the right programs. Every interaction you have will contribute to improved health outcomes and a better member experience.

To be successful in this role, you’ll bring strong communication skills, patience, and the ability to work independently. You will be a strong candidate if you have experience in customer service, a medical office setting, or working with senior populations, along with knowledge of medical terminology. Experience in healthcare, care coordination, member engagement, or population health will further strengthen your candidacy.

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.

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 1

Worker Type: Employee

Company: BCBST BlueCross BlueShield of Tennessee, Inc.

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.

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. 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.

BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.

Note This is a remote role with occasional onsite training and quarterly meetings in Chattanooga for candidates within driving distance.

Schedule: Monday–Friday, 8:45 a.m. – 5:15 p.m. EST.