Community Health Navigator I (Hybrid)

Purpose

The Community Health Navigator serves as a frontline, member-focused role responsible for engaging Medicare and Medicaid members to support quality improvement initiatives, close gaps in care, and improve overall health outcomes. This position directly supports organizational performance related to NCQA accreditation standards, HEDIS quality measures, and CMS requirements through targeted outreach, education, and care navigation activities.

Responsibilities

• Act as a liaison to ensure members are connected with appropriate care channels (i.e. pharmacy, insurance, billing, referral) and have the information they need to successfully navigate their care journeys.
• Outreach and follow-up with patients in between episodes of care as appropriate to promote a seamless and predictable healthcare experience.
• Ensure that members attend appointments and assist with coordination for transportation and pharmacy needs.
• Collect all information and relay to Care Coordination team.

Qualifications

• Education Level: High School Diploma or GED.
• Experience: 3 years community relations/outreach/customer services/health educator role.
• Preferred Qualifications: Community Health Worker Certification.

Knowledge, Skills And Abilities (KSAs)

• Strong written and verbal communication skills.
• Problem-solving skills to tackle various tasks and challenges.

Salary Range

The salary range for this position is $39,024 - $71,544. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business considerations. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.

Benefits

In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Physical Demands

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.