Member Services
2 days ago
We were tired of hearing that healthcare is broken, so we decided to do something about it. At Nomi Health, we believe the care itself isn't broken — it's the business of healthcare that gets in the way. Every year, more than $1 trillion is wasted on paperwork, delays, and middle layers that drive up costs and keep people from the care they need.
We're rebuilding the system so it works the way it should: clear prices you can trust, faster payments that keep providers focused on patients, and data that helps employers make better decisions. Our work has already touched more than 30 million lives — from local communities in Michigan to some of the largest companies in the country.
We're seeking a Member Services (Care Guide) to join our team in Salt Lake City, Utah. You will genuinely care about helping others, can handle complex or emotional situations with empathy, and take pride in creating successful outcomes for every patient or provider you support.
Join a passionate team that's empowering patients and providers to take back control of healthcare
Schedule
Typical schedule aligns with client hours across Eastern and Central time zones; availability between 7 AM – 4 PM MT is required.
This is a hybrid position, working 2–3 days per week onsite in Salt Lake City.
How You'll Make an Impact- Member Guidance & Support
- Engage with members to understand their healthcare needs, preferences, and barriers.
- Provide personalized recommendations for providers, specialists, and community resources.
- Educate members on navigating the healthcare system and understanding facility options within their market.
- Resource Coordination
- Stay informed about local provider networks, clinics, hospitals, and support services.
- Partner with internal teams such as Case Management, Behavioral Health, and Provider Relations to ensure seamless care.
- Track referrals and follow up to ensure timely access and member satisfaction.
- Data & Reporting
- Document all member interactions in our care management platform with accuracy and confidentiality.
- Identify and escalate trends or barriers impacting member access or satisfaction.
- Provide feedback to enhance network adequacy, resource listings, and communication tools.
- Education & Advocacy
- Serve as an advocate for members, helping them understand their benefits and make informed decisions.
- Proactively reach out to high-need or at-risk members to close gaps in care and improve outcomes.
- Associate's or Bachelor's degree in healthcare administration, nursing, social work, or a related field (or equivalent experience).
- 2+ years in care coordination, patient navigation, or case management preferred.
- Strong understanding of healthcare systems, insurance benefits, and community resources.
- Excellent communication, empathy, and problem-solving skills.
- Comfortable using CRM or care management software.
- Passion for helping people and improving access to care.
- This is a hybrid position, working 2–3 days per week onsite in Salt Lake City.
- Member satisfaction and engagement
- Reduction in unnecessary ER visits or out-of-network utilization
- Timely resolution of member inquiries
- Accurate and compliant documentation
Nomi Health delivers disruptive healthcare solutions, in partnership with like-minded employers, public sector organizations, advisors (brokers/consultants), and payers/TPAs. We're a team of 300+ people who show up every day with the same mindset: don't settle for "that's just how it is." Real change happens when you challenge the system, cut through the excuses, and build something better together.
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