About Blue Cross

Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.

How Is This Role Important to Our Work?

The Gender Services Care Navigator will work collaboratively with Gender Services Consultants managing Transgender, Non-binary, and Gender Diverse members to navigate the health care system, to identify where their needs are, and match resources to help remove barriers to accessing care. They will be responsible for aiding members in finding community, financial and provider resources across multiple states and lines of business (e.g., problem solving, resource education and applicable program referrals). The Gender Services Care Navigator is a critical member of the Gender Services Care Management team. The role is recognized by our members as an advocate that supports our values.

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A Day in the Life:

• Receives referrals, researches inquiries, and performs member intake while utilizing content expertise to advocate for member needs.
• Coordinates and collaborates as an important member of the case management team to facilitate member touchpoints and enhance the overall operation of the division.
• Engages with clinical team to address patient questions or concerns and transfer/refer members to a clinical resource when appropriate.
• Independently assess member's needs, gather accurate and comprehensive member information, and research resources and assistance programs that may be available to members in multiple states and across all lines of business. Match these resources as appropriate to support needs of members.
• Identify resource gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as appropriate.
• Conducts outreach to and engages members in Gender Services programs throughout the continuum of care.
• Proactively provide information and education to members, as appropriate, about a variety of health, financial, and self-service programs.
• Serves as a member advocate by identifying underlying needs and facilitates referrals to external resources and services in the health care system, as appropriate.
• Represents members needs internally to account managers (e.g., Clinical Account Managers), clinicians and health support coordinators within Care Management, Customer service, and providers.
• Maintain a strict standard of confidentiality to ensure that our members protected health information (PHI) is secure.
• Display compassion, respect, and self-confidence when conversing with members to ensure outstanding level of service.

Nice to Have:

• Strong independent research capabilities.
• Bachelor's degree in Social Work, Human Services, Psychology, Health Sciences, or another related field
• 2+ years experience working with the transgender, non-binary, and gender diverse populations
• Individuals with lived experience.
• Experience supporting marginalized populations in navigation of managed care and other health care organizations.

Required Skills and Experiences:

• 3+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• General understanding of medical terminology, health insurance, and social determinants of health
• Ability to quickly gain member trust and confidence.
• Demonstrated skills as an empathetic and compassionate communicator.
• Outstanding communication and customer service skills.
• Outstanding analytical thinking skills.
• Outstanding task facilitation skills.
• Strong computer application skills.
• Accurate record-keeping abilities.
• Demonstrate leadership ability.
• Consistently meet all performance measures.
• Demonstrated ability to enhance or develop new skills in response to changing expectations.
• Self-motivated, capable of working independently as well as cooperatively in a team setting.

Role Designation:

Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is full-time onsite.

Make a difference

Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.