**Employment Type:** Full time **Shift:** Day Shift **Description:** **🧭 Be the Guide Who Makes Healthcare Easier to Navigate** Healthcare can be complex—but with the right support, it doesn’t have to be. As a **Clinical Health Plan Navigator** , you’ll be the trusted partner our health plan members turn to when they need help understanding their care options, finding the right providers, or overcoming barriers to access. This is more than a support role—it’s a chance to make a meaningful impact every day by improving care experiences, reducing fragmentation, and promoting better health outcomes across our organization. **🔍 What You’ll Do** + Serve as a trusted guide for health plan members, helping them access care and understand their options. + Connect members with primary care providers, specialists, and community resources. + Work closely with members, their support networks, and healthcare providers to reduce care fragmentation and improve outcomes. + Educate members on appropriate care settings (e.g., urgent care vs. ER) and available support tools. + Identify trends and barriers in care access and collaborate with the team to improve services. + Support providers with insights and feedback to enhance the member experience. + Act as a point of escalation for member concerns related to access or care quality. + Maintain up-to-date knowledge of healthcare regulations and Trinity Health policies. **✅ What You Bring** **Education & Experience:** + Bachelor’s degree in Human Resources, Nursing, Marketing, or a related field (or an equivalent combination of education and experience). + At least 3 or more years of relevant work experience with health plans, provider networks, and/or medical group practices. **Strong preference for** **clinical** **experience in an outpatient setting.** + In-depth knowledge and understanding of healthcare systems and applicable laws/regulations (e.g., HIPAA). **Skills & Abilities:** + Excellent communication and relationship-building skills. + Strong problem-solving and analytical thinking. + Proficiency in Microsoft Office (especially Excel, Word, PowerPoint). + Ability to work independently and collaboratively in a fast-paced environment. + High level of discretion and professionalism with sensitive information. **🌟 Bonus Points If You Have** + Experience with employer-sponsored health plans or working in a provider or clinically integrated network. **💙 Why Join Saint Alphonsus?** At Saint Alphonsus, we live our mission every day: to serve together in the spirit of the Gospel as a compassionate and transforming healing presence. You’ll be part of a supportive, values-driven team that’s making a real difference in people’s lives. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran