Member Solutions Navigators

Imagine360 is currently seeking multiple REMOTE Member Solutions Navigators! Imagine360 is creating a completely reimagined healthcare experience! We're on a mission to elevate the member experience, protect member wellness while simplifying healthcare by cutting complexity, clutter and costs! We are fanatical about service! We put our members at the center of our model to provide 360-degree support with a focus on creating an effortless member experience. If you are passionate about making a difference, impacting people's lives and enjoy the challenges of solving problems, then look no further; Imagine360 might be the place for you!

Are you the kind of person who is passionate about making a difference and helping others? Do you have a knack for quickly understanding what the customer needs and how to deliver the optimal personalized resolution? We are looking for compassionate dynamic take-charge individuals who will be trusted to exercise their own judgement to deliver superior concierge-level service to our members and clients. We need keen problem solvers who can think on their feet; self-starters who are comfortable taking initiative to guide members to quality care and streamlined solutions. If you'd like to join our Member Solutions team, we'd love to talk to you - even if you don't match every single requirement!

Position Location : 100% remote

Responsibilities include but are not limited to :

• Member Solutions Navigators deliver specialized service over multiple channels by acting as a single point of contact, maintaining ownership of member resolution and navigating optimal care. Manage and coordinate elevated member issue resolution (IE : access to care, provider selection and outreach, surprise billing) with confidence and a sense of urgency.
• Provide concierge-level guidance for members involving their benefit plans throughout their healthcare journey. Empowered to advocate for members by providing knowledge, expertise, and innovative problem solving to proactively identify solutions that elevate the member experience.
• Take ownership of the member experience from beginning to end, minimizing handoffs while engaging with other internal departments to ensure service continuity and reduced effort for the member.
• Establish and build a strong rapport with members and internal member and provider facing teams.
• Become an expert in benefit administration and healthcare solutions with a focus on employer self-insured reference-based pricing plans.
• Guide understanding of health benefit coverage including accumulators, explanation of benefits, out of pocket maximums, and reimbursement levels.
• Interact with members, clinicians and service providers while leveraging our proprietary technology to streamline and simplify healthcare complexities and make it easy for our members to work with us. Anticipate member needs and conduct research on their behalf to resolve current and anticipated future issues.
• Receive and facilitate escalated issues on behalf of Client Experience team, brokers and external clients.
• Participate in special projects and developmental opportunities, as available, to gain business exposure and build a rewarding career with i360!

Required Experience / Education :

What can Imagine360 offer you?

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.