Remote Regional Care Navigator

Alignment Health; Northern (KY); Hybrid; USD 45,000 - 67,000; Full time

Job summary

Alignment Health, a fast-growing organization focused on senior care, seeks a Remote Regional Concierge Navigator to provide in-market member support and coordinate care. You will engage new members, assist with scheduling, and connect them with PCPs and specialists to ensure coordinated care.

The role emphasizes proactive service recovery, education on gaps in care, and strong communication with diverse members and providers.

Qualifications

• Knowledge of ICD-10 and CPT codes.
• Keyboard typing 40+ words per minute.
• Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.
• Effective written and oral communication skills; ability to establish and maintain relationships with diverse members and vendors.
• Bilingual English/Spanish or English/Vietnamese or English/Mandarin is a plus.

Responsibilities

• Provides in-market, specialized member support in respective market or region.
• Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, and Proactive Service Recovery.
• Ensures members have access to PCP and specialists to coordinate care.
• Educates members on gaps in care and assists with scheduling provider appointments.
• Acts as the patient’s liaison throughout the program lifecycle and coordinates with the care team.

Skills

ICD-10 knowledge

CPT codes

Typing 40+ wpm

Communication skills

Bilingual English/Spanish

Education

High School Diploma or GED

Job description

Alignment Health, a fast-growing organization focused on senior care, seeks a Remote Regional Concierge Navigator to provide in-market member support and coordinate care. You will engage new members, assist with scheduling, and connect them with PCPs and specialists to ensure coordinated care.

The role emphasizes proactive service recovery, education on gaps in care, and strong communication with diverse members and providers.