Director of Care Navigation
3 weeks ago
Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health
plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring
more benefits. Care Navigators are at the core of the Curative member-oriented health plan. The Care Navigator
team is assigned members to help patients navigate healthcare, engage in preventative care and partner with them
in achieving their health goals. Curative is looking for a Director of Care Navigation who is passionate in leading
this essential Care Navigator team to new levels of member engagement and health outcomes. For Curative, it all
starts through the Care Navigator team and a member engaging baseline visit where members learn about their
plan, discuss health goals and develop their personalized strategy with our combined clinical and care navigator
team. This Director of Care Navigation will be innovative and resourceful in designing the most effective
for member support.
This is a remote position requiring flexibility to support as needed.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Direct management of Care Navigation and Quality Assurance Teams.
- Accountable for achieving and exceeding department level business objectives, KPIs, population health goals,
and member satisfaction.
- Deliverables include developing & deploying execution strategies; recruiting, hiring, training, managing and
developing staff.
- Collaboration within the customer success organization and with other cross-functional partners to deliver on
process design, scaling operations, and optimizing member experience and health outcomes.
- Leads, inspires, and directs the team. Monitors and directs workload activities to meet business objectives and
drive best in class customer experience. Represents the company professionally, ethically and morally at all
times. Ensures a high level of liaison within the department and other departments & staff to ensure
coordination of activities.
- Frequently interacts with subordinates, customers, and/or functional peer group managers, director, vp’s, and
c-level, normally involving matters for the overall team objectives, between functional areas, other company
divisions, or customers and the company. Often must contribute to a cooperative effort.
- Utilizes team dashboards and reporting tools to drive teams to meet member and provider experience
objectives.
- Drives initiatives and recommendations or implementation of process improvements working cross
- functionally with a focus on improved customer experience, team efficiency, and high levels of member
engagement and follow-up.
- Resolves escalated issues from members and internal teams to improve customer experience.
- Work with the management team to continually evaluate team structure, technology and tools in effort to
support exceptional customer experience, efficient processing, and member resolution.
- Identify and recommend process, policy, system, and technology improvements to optimize accuracy, drive
efficiency, and a cost effective model of the care navigation team.
- Responsible for understanding and ensuring employees follow corporate policies and procedures including
quality compliance requirements.
- Performs other duties as assigned. All listed tasks and responsibilities are deemed as essential functions to this
position; however, business conditions may require reasonable accommodations for additional tasks and
responsibilities.
- Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc).
- This position assumes and performs other duties as assigned.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions:
- Experience in leading call center teams with a focus on member engagement, member education, case
management, access to care, and population health outcomes.
reports to innovate and collaborate while building flexible processes and infrastructure for a best-in-class
customer support group in a dynamic environment.
attendance actions in effect.
- Ability to analyze and manipulate data to understand trends, team needs and root cause issues.
- Proven ability to quickly develop expertise, multi-task, embrace change and innovate in a fast-paced start-up
environment.
- Experience in working in high growth environment and scaling teams particularly
- Excellent communication and interpersonal skills. Well developed interpersonal and leadership skills.
- Highly motivated and successful individual who can build and maintain a positive, challenging and dynamic
work environment.
- 5+ years leadership or management experience within Health Insurance & Care Navigation envi
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