[Remote] Health Navigator at Centivo

Remote

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$55,000 – $60,000Compensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, TelemedicineIndustries

Requirements

Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), or equivalent clinical background and/or work experience
2+ years of experience in primary care, ambulatory, or virtual care setting
Strong EMR experience (Athena preferred)
Excellent communication and organization skills
Demonstrated ability to multitask and prioritize in a virtual, fast-paced environment
Willingness to learn and collaborate with your team
Spanish-speaking (preferred)
Open to travel for specific marketing opportunities (preferred)

Responsibilities

Provide coverage during business hours to manage incoming patient messages and requests
Assist patients with scheduling, rescheduling, and confirming appointments
Answer patient administrative questions and escalate clinical questions appropriately
Conduct outbound communication to patients by phone as appropriate
Call labs or pharmacies for refills, clarifications, or updates as directed by providers
Contact patients and providers to gather necessary clinical or administrative information
Triage patient requests, escalating urgent medical needs to same-day visits or to the provider team for guidance
Create and route patient cases in the EMR to the appropriate providers or care team members
Facilitate specialty and imaging referrals, ensuring referral orders are completed, faxed, and communicated to patients and facilities
Manage closed-loop referral follow-up, retrieving specialist consult notes and ER discharge summaries
Support prior authorization workflows for medications as directed
Update pre-visit information prior to scheduled appointments including ensuring eligibility, demographics, preferred lab/pharmacy, etc
Support patients virtually to obtain, document, and report accurate vital signs
Obtain, document, and report basic medical, social, and family history
Provide patient education on topics such as blood pressure monitoring and glucometer usage if needed
Manage medical record requests from patients and externally (labs, specialists, etc.)
Retrieve and upload records, lab results, and hospital discharge summaries to the EMR
Provide cross-coverage across care teams as needed
Respond to and resolve patient voicemails, messages, etc
Collaborate with providers and operations teams to maintain smooth care coordination
Initiate, track, and follow up on specialty and imaging referrals
Communicate with community specialists by phone and prioritize urgent referrals when needed

Skills

Medical Assistant

Patient Communication

Appointment Scheduling

Triage

Phone Outreach

Administrative Coordination

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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