Remote Regional Concierge Navigator

Alignment Healthcare USA, LLC; Phoenix (AZ); Remote; USD 44,790 - 67,185; Full time

Job summary

Alignment Health USA, LLC is seeking a Remote Regional Concierge Navigator to provide outreach and support to our members, ensuring access to care and benefits. The role involves coordinating with providers, health plan operations, and vendors to maintain high-quality, coordinated care across the market.

The position emphasizes in-market engagement, scheduling, and proactive service recovery, with a focus on helping members navigate referrals, authorizations, and the wellness plan options in a

Qualifications

• Knowledge of ICD-10 and CPT codes.
• Ability to help members navigate access to care through Medicare Advantage or HMO.
• Strong written and verbal communication with diverse members.

Responsibilities

• Provide in-market, specialized member support in the relevant market.
• Conduct Welcome Calls, onboarding, scheduling, and care coordination tasks.
• Assist with authorizations, referrals, and obtaining medical records.
• Resolve member issues and ensure access to PCPs and specialists.
• Communicate effectively with PCPs, vendors, and members.
• Document interactions and support quality measures per SOPs.

Skills

ICD-10/CPT codes

Typing 40 WPM

Medicare navigation

Effective communication

Problem solving

Bilingual English/Spanish

Education

High School Diploma or GED

Job description

Alignment Health USA, LLC is seeking a Remote Regional Concierge Navigator to provide outreach and support to our members, ensuring access to care and benefits. The role involves coordinating with providers, health plan operations, and vendors to maintain high-quality, coordinated care across the market.

The position emphasizes in-market engagement, scheduling, and proactive service recovery, with a focus on helping members navigate referrals, authorizations, and the wellness plan options in a