Benefits Navigator

3 weeks ago


Latham, New York, United States Fidelis Care Full time

About Fidelis Care

Fidelis Care is transforming the health of our communities, one person at a time. As a national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

This field-based position is located in the Albany, NY area.

Job Description

We're seeking a Benefits Navigator to support administrative care management activities and serve as a point of contact to members, providers, and staff to resolve issues and document member records in accordance with current state and regulatory guidelines.

  • Provide outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
  • Support members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
  • May apply working knowledge of assigned health plan(s) activities and resources
  • Serve as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
  • Support member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
  • Document and maintain non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
  • Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
  • Perform other duties as assigned
  • Comply with all policies and standards
Required Skills and Qualifications

Requires a High School diploma or GED. Requires 1 – 2 years of related experience.

Estimated Salary Range:

$17.17 - $26.97 per hour

Benefits Package

Fidelis Care offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Equal Employment Opportunity

Fidelis Care is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.



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