Health Navigator – Women’s Health & First Year of Life

BlueCross BlueShield of Tennessee is hiring a Health Navigator to support members in our Women’s Health and First Year of Life programs. You’ll help women, new families, and caregivers navigate key health milestones—from perimenopause and well-woman care to pregnancy, postpartum, and an infant’s first year. Key Responsibilities:

• Serve as primary contact for program members, providing education and navigation support
• Conduct outreach to engage women, pregnant members, and new parents
• Assist with understanding perimenopause, pregnancy, postpartum, breastfeeding, and infant wellness
• Identify health and social needs; connect members to clinical teams and community resources
• Support care coordination and address barriers like transportation, housing, and childcare
• Document interactions and collaborate with nurses, case managers, and behavioral health professionals

You will be an ideal candidate for this role, if, in addition to the required qualifications, you:

• Passionate about supporting women and families, skilled at building trust, and motivated to improve member experiences.
• Have 2+ years of experience in health navigation, care coordination, or member engagement (healthcare preferred)
• Demonstrate knowledge of women’s health and infant care or have a willingness to learn
• Have strong communication, empathy, and problem-solving skills
• Are skilled at remotely and managing multiple systems

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

SkillsCertifications

• 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

Incentive Plan AEP Number of Openings Available 1Worker Type: EmployeeCompany: 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. Apply tot his job Apply To this Job