Remote Network Navigator - Healthcare Access

Mass General Brigham Health Plan; Somerville (MA); Remote; USD 73,068,000 - 104,547,000; Full time

Job summary

Mass General Brigham Health Plan is seeking a Network Navigator to proactively guide members to in-network providers and coordinate care. You will work with Utilization Management and care teams to reduce out-of-network use and improve access to services.

The role emphasizes member education, scheduling support, and collaboration across clinical and provider relations teams, with a focus on timely, coordinated care.

Qualifications

• Bachelor's Degree required; experience may substitute for degree.
• 1-2 years in social work, case management, or related field preferred.
• 2-4 years in healthcare navigation or managed care preferred.

Responsibilities

• Identify and help members access in-network primary and specialty care.
• Educate on benefits, scheduling, referrals to reduce delays.
• Coordinate with care teams to ensure timely, coordinated care.
• Assist with outreach, onboarding, and benefit clarification.
• Document interactions and track access to care metrics.
• Collaborate with teams to improve network access and engagement.

Skills

Healthcare navigation

Care coordination

Patient advocacy

Education

Bachelor's Degree

Job description

Mass General Brigham Health Plan is seeking a Network Navigator to proactively guide members to in-network providers and coordinate care. You will work with Utilization Management and care teams to reduce out-of-network use and improve access to services.

The role emphasizes member education, scheduling support, and collaboration across clinical and provider relations teams, with a focus on timely, coordinated care.