Care Navigator I

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/

How YOU will make a Difference:

HMA’s Care Navigator program is designed to engage with members at various points in their healthcare journey to help them make educated decisions about their care and empower them to achieve well-being. The goal of the Care Navigator is to assist the member in building the skills needed to make good decisions and influencing influence behavior change that leads to lower costs and better outcomes. We are looking for a talented professional to join our Care Navigator team. The Care Navigators work closely with our Care Management and Customer Care teams to coordinate member patient care, remove barriers for members, increase member engagement, lower members’ stress and fear related to using their benefits, and drive better member experiences.

What YOU will do:

Use judgement and discretion to Prioritize work items from various sources, identify members who would benefit from Care Navigator support from a variety of sources including authorization requests,; analytics reports, and referrals from both internal and external partnersCare Management referrals, Client and /or Broker referrals; Client Success referrals; patient or family member referrals for Care Navigator outreach Complete outreach calls to patients Proactively outreach to members who would benefit from Care Navigator support; prioritize members with consideration to needs, timing (of member healthcare plans), and potential value to member and plan Promote Care Navigator services and build rapport with members; utilize the skills of a Trusted Advisor and expertise in healthcare administration to identify areas of concern and opportunity for members; anticipate member needs and identify resources available that would benefit and support the member, and with consideration given to plan priorities and requests. Identify areas of concern / anticipated needs (transportation, support care, social issues, etc.) and identify resources, build rapport with providers to ensure timely communication regarding member needs Utilize reports and dashboards to identify and engage with members with steerage opportunities Identify and promote steerage opportunity for members to deliver high-quality, high-value care Create and maintain strong collaborative relationships with vendor partners for products offered by plans Engage in personalized consultations with members Educate patients regarding claims, benefits, and options available under the plan and in their community Perform follow up as needed Review claims for payment integrity and patterns of overutilization Provide data to compile reports

Knowledge, Experience and Attributes:

High School diploma required 1-3 years of experience in an administrative healthcare role Proficiency in medical and dental terminology preferred Excellent verbal and written communication skills required Excellent customer service skills required Excellent time-management skills needed Detail oriented and strong organization skills needed Ability to work well both independently and as part of a team Ability to identify and resolve complex issues and problems Ability to perform well and multi-task in a busy, high pressure environment Moderate computer skills (email, MS Word, MS Teams, etc.)

Compensation:

The base salary range for this position in the greater Seattle area is $28.85/hr - $35.57/hr for a level I and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level I, we may consider level II for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.

In addition, HMA provides a generous total rewards package for full-time employees that includes:

Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA’s standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: https://www.accesshma.com/