Member Contact & Navigation Specialist 8-2026

Description

Join Our Team as a Member Contact & Navigation Specialist!

Are you passionate about helping people and making a real difference in their lives? At PrimeWest Health, we’re looking for a Member Contact & Navigation Specialist who thrives on delivering exceptional service and creating positive experiences for our members.

In this role, you’ll be the friendly, knowledgeable voice that members trust. You’ll handle inquiries about plan benefits, eligibility, claims, transportation, interpreter services, and pharmacy issues—ensuring every interaction is professional, accurate, and compassionate.

Requirements

What You’ll Do

• Be the go-to resource for members, providing clear answers and guidance.
• Maintain expert knowledge of PrimeWest Health programs, products, and guidelines.
• Document all member interactions with precision and clarity.
• Research and resolve issues promptly, escalating when necessary.
• Identify and process potential Grievances or Appeals according to established procedures.
• Participate in team meetings and training to stay sharp and informed.
• Protect sensitive information with the highest level of confidentiality.

What We’re Looking For

• A detail-oriented problem solver with excellent communication skills.
• Someone who can stay calm under pressure and deliver outstanding service.
• A team player committed to continuous learning and improvement.

Summary

Why You’ll Love Working Here

We value our employees and offer a comprehensive benefits package, including:

• Medical Insurance
• Vision Materials Coverage
• Long-Term Disability (LTD) Coverage
• Life Insurance
• Pension Plan (PERA)
• 13 Paid Holidays
• Vacation Bank
• Sick Leave Bank
• Fitness Room Onsite 

Plus, you’ll make a meaningful impact on the health and well-being of our community while working in a supportive, collaborative environment.

Ready to bring your skills and enthusiasm to a role where every day matters?
Apply today and help us make healthcare better for everyone!