Manager, Care Navigator

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:
As a Care Navigator Manager you will lead and support a dynamic and talented team of Care Navigators in providing service to members with access to Care Navigator programs and collaborate with internal stakeholders to promote efficiency and value as the Care Navigator program grows and evolves.
What YOU will do:

• Provides leadership and guidance to support the day-to-day activities of the care navigator team and program(s)
• Proactively identifies and communicates back trends, changes, and potential impacts to Care Navigator team, members and clients utilizing both internal and external sources, and with respect to the healthcare landscape, networks/contracts, vendors and partner programs, etc.
• Performs regular audits of calls and casework to support a high level of excellence in member experience and adherence to Care Navigator team standards and guidelines; provides feedback, guidance, and recognition to team members as appropriate
• Performs regular audits of PWIs, Standard Work, and other Care Navigator documents for use by internal HMA teams
• Provides training, education, and mentorship to Care Navigator team members; takes ownership of on-boarding for new team members
• Handle complex and escalated cases for Care Navigators
• Collaborates with internal stakeholders including Care Management, MAT, Claims, Client Succes, Product, Marking, and Product Operations to resolve member issues, advocate for program needs, and support operations and development of the Care Navigator product.
• Uses a data-driven approach to support and promote efficiencies in the work and a positive working environment for the team
• Promotes a culture of continuous process-improvement with direct reports and within the Care Navigator program(s)
• Responsible for coordinating technology needs to support Care Navigator workflows

Knowledge, Experience, and Key Attributes needed for Success:

• Bachelor's degree or equivalent work experience required
• 3-5+ years of experience in a healthcare payor environment; experience working directly with members preferred; experience working with a TPA strongly preferred
• Prior leadership experience in a lead or managerial role required
• Deep understanding of insurance, medical/clinical terminology, and healthcare administrative processes required
• Ability to develop collaborative relationships and communicate effectively with a variety of stakeholders
• Ability to lead with empathy, develop and motivate teams, and hold others accountable
• Excellent interpersonal and communication skills
• Strong written and verbal skills
• High level of comfort using data to drive decisions
• Passion for excellence
• Proficiency with Microsoft Office applications (Outlook, Word, Teams, PowerBI)

Compensation:
The base salary range for this position in the greater Seattle area is $102,000 - $130,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. In addition, HMA provides a generous total rewards package for full-time employees that includes: seventeen (IC) days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit www.accesshma.com .
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.
How we Support your Work, Life, and Wellness Goals
We offer a comprehensive total rewards package including: competitive pay; annual incentive; wellness programs; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym; life, AD&D, short and long-term disability insurances; an Employee Assistance Plan with additional mental health support; free parking and easy freeway access to I-405 and I-520; a stocked kitchen on-site with subsidized snacks and refreshments; year-round wellness activities; monthly events; paid volunteer hours and more!
HMA is primarily a remote workforce, requires a reliable internet connection, and provides all hardware. Some roles are required onsite 1-3 days per week/month while other roles are 100% remote.
A background screen prior to employment is required.
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