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+ Care Team Navigator Lead ...
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Employer Sponsored Job (Free to apply to)
Humana Inc. Job Title
Care Team Navigator Lead - The EDGE

Humana Inc.

Job Description

This is a unique opportunity to help lead and transform the care that we provide for seniors – working to meet their financial, social, emotional and medical needs – and help shape the necessary tech-enabled services to deliver on that experience from the ground up. The role requires experience working with people in need and providing them exemplary customer service. We are looking for individuals who are passionate about transforming our care system for patients who need it most and are driven by doing well by doing what’s right. As a key member of the Edge Operations and Clinical team, you will have the chance to bring your bright ideas and energy to work every day to improve the lives and health of the seniors we serve. We are looking for a person who is willing to jump in and help build this business from the ground up, contributing wherever assistance is needed.


The Navigator Lead for the Edge Care team will serve as the cross functional lead between the clinical care teams and the service teams to develop, lead and guide our members, helping them understand their benefits, helping them to identify what social services they quality for and getting them set up with those resources, coaching members to help them achieve their health goals and connecting them with other members clinical of the care team as appropriate. This role is responsible for the daily activities across multiple functional service areas. He/she requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

The Navigator Lead may perform configuration, installation, implementation, client support and client services related to the care management platform and system. Decisions are typically related to the implementation of new/updated programs of large-scale projects for the function and support of technical/operational procedures and processes. Implements strategic plans, drives goals and objectives, and improves performance. In the role you will provide strategic input and decision making in the assigned functional service areas.

Required Qualifications:

Bachelor's degree

Strong program management, process management and organizational skills

Proficiency in Excel and PowerPoint

Excellent oral and written communications skills

Proven success in using influencing skills to achieve impact and results

2-3 years of experience in the field of service operations in the areas of Enrollment, Premium Billing , Plan Networks, Provider Contracts, Provider Credentialing, Provider Connectivity, Issue Resolution, Provider Capitation, Risk Financial Management, Patient Navigation and/or Social Service Provision.

5 years of management experience of 5 or more associates

Qualified candidate MUST reside in Boston, MA

Ability to travel to Greenville, SC

Desired Qualifications:

Master’s in Business Administration or related field

Project Management experience

Experience supporting individuals through behavior change including motivational interviewing and self-management

Experience working with seniors and/or caregivers

Scheduled Weekly Hours


About Us

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

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