Seasoned Multilingual Health Plan Member Support Specialist – Remote Bilingual Customer Service Navigator – Championing Inclusive Care, Seamless Member Experience, Cultural Competence, and Community Empowerment at brighthush

Welcome to brighthush – Where Compassion Meets Innovation

At brighthush, we’re redefining what it means to provide health coverage in a world that’s increasingly connected, diverse, and fast‑moving. Our mission is simple yet powerful: to empower every member with the knowledge, support, and care they need, no matter where they live or what language they speak. By blending cutting‑edge technology with a human‑centered approach, we create a health ecosystem that is as inclusive as it is efficient.

Why the Health Insurance Landscape Needs a Brighter Future

The past decade has seen a seismic shift in how people view health insurance. Consumers now expect instant access to information, culturally relevant support, and a transparent, member‑first experience. At brighthush, we’re not just keeping pace—we’re setting the standard. Our vision is to become the most trusted, member‑centric health plan in the region, known for our dedication to inclusivity, innovation, and exceptional service.

What It Means to Work at brighthush

When you join brighthush, you’re not just taking a job—you’re stepping into a community that values collaboration, continuous learning, and genuine impact. Here’s what you can expect:

• Competitive Compensation: A base salary that reflects your experience, paired with performance‑based incentives that reward your dedication to member satisfaction.
• Comprehensive Health Coverage: Health, dental, and vision plans for you and your family, designed to keep you and your loved ones healthy and protected.
• Fully Remote Work: Flexible work‑from‑home arrangements that let you balance professional growth with personal life.
• Unlimited Paid Time Off: A generous holiday schedule and unlimited PTO to recharge and stay energized.
• Professional Development: A dedicated budget for learning, tuition reimbursement, and access to industry‑leading training platforms.
• Wellness & Mental Health: Virtual fitness classes, mental health resources, and wellness coaching to support your overall well‑being.
• Community & Connection: Regular virtual and in‑person team‑building events that foster collaboration and camaraderie.

Key Responsibilities – Your Role as a Bilingual Customer Service Navigator

As a Bilingual Customer Service Navigator, you will be the first point of contact for members enrolled in brighthush’s D‑SNP and CMC plans. Your role is pivotal in ensuring members receive timely, accurate information and support across a wide range of health and prescription benefits. Below is a detailed breakdown of what your day‑to‑day responsibilities will look like:

• Member Engagement: Handle inbound calls and inquiries from brighthush members in Spanish, Tagalog, Cantonese, or Mandarin, providing clear, empathetic, and culturally sensitive assistance.
• Benefit Education: Explain brighthush health and prescription drug benefits, eligibility criteria, and provider network options, ensuring members understand how to access care.
• Welcome Calls: Conduct proactive “New Member Welcome Calls” to introduce members to their benefits, set expectations, and gather essential information.
• Issue Resolution: Investigate and resolve member challenges related to accessing brighthush‑covered services, including medical appointments, prescription refills, and specialist referrals.
• Enrollment Retention: Monitor member enrollment status, identify at‑risk members, and collaborate with partner agencies to maintain continuous coverage.
• Documentation & Reporting: Accurately record member interactions, complaints, grievances, and appeals in the system, ensuring compliance with regulatory standards.
• Service Requests: Prepare and submit member‑initiated requests for services directly to brighthush Health Services and coordinate continuity of care with non‑contracted providers.
• Community Referrals: Connect members with appropriate community partner agencies—such as behavioral health, aging services, legal aid, or HICAP—based on individual needs.
• Clinical Coordination: Relay pertinent health information to brighthush clinical staff to facilitate care coordination and prescription management.
• Community Representation: Represent brighthush at health fairs, partnership meetings, committees, and coalitions, promoting the organization’s values and services.
• Continuous Improvement: Participate in process improvement initiatives, share best practices, and contribute to the evolution of member support strategies.

Essential Qualifications – What We’re Looking For

• High school diploma or GED equivalent.
• 2–3 years of customer service experience, preferably within a health plan or related environment.
• Prior experience working with seniors, individuals with disabilities, or in a medically related role (e.g., medical assisting).
• Fluency in at least one of the following languages: Spanish, Tagalog, Cantonese, or Mandarin.
• Proficiency with personal computers and Microsoft Office Suite (Outlook, Word, Excel, Access, PowerPoint).
• Strong understanding of health insurance concepts and customer service best practices.
• Excellent communication skills—both verbal and written—in English and the chosen language.
• Ability to handle complex inquiries, resolve conflicts, and maintain composure under pressure.
• Demonstrated commitment to confidentiality, compliance, and ethical standards.

Preferred Qualifications – Bonus Points That Set You Apart

• Experience with electronic health record (EHR) systems or member portal platforms.
• Knowledge of behavioral health, aging services, or community resources in California.
• Previous exposure to care coordination or case management roles.
• Certification in customer service or health care administration.
• Experience working remotely with a self‑directed, results‑oriented mindset.

Skills & Competencies – The DNA of Success at brighthush

• Multilingual Communication: Ability to convey complex information clearly and compassionately in multiple languages.
• Problem‑Solving: Analytical thinking to diagnose issues and develop effective solutions quickly.
• Empathy & Cultural Sensitivity: Genuine care for diverse populations and an understanding of cultural nuances.
• Time Management: Prioritize tasks, manage call volume, and meet performance metrics.
• Team Collaboration: Work effectively with clinical staff, provider services, and community partners.
• Adaptability: Thrive in a dynamic environment, embracing new technologies and processes.
• Data Integrity: Maintain accurate records and adhere to data privacy regulations.

Career Growth & Learning Opportunities – Your Path to Leadership

At brighthush, we believe in investing in our people. As a Bilingual Customer Service Navigator, you will have access to a range of professional development resources:

• Structured onboarding program with mentorship from senior navigators.
• Regular training sessions on health plan updates, new benefits, and regulatory changes.
• Access to online learning platforms covering topics such as health insurance, case management, and cultural competency.
• Opportunities to lead cross‑functional projects and present findings to senior leadership.
• Clear career ladder with defined pathways to roles such as Senior Navigator, Team Lead, or Care Coordination Manager.

Work Environment & Company Culture – A Culture That Thrives on Inclusion

brighthush fosters a culture that is:

• Inclusive and respectful of all backgrounds.
• Transparent, with open lines of communication between all levels.
• Innovative, encouraging employees to experiment with new tools and ideas.
• Supportive, offering peer‑support groups and mentorship programs.
• Balanced, promoting work‑life harmony through flexible scheduling and remote work.

Compensation & Benefits – A Package That Supports You and Your Family

While specific figures vary by role and experience, brighthush offers:

• Competitive base salary aligned with industry standards.
• Performance bonuses tied to member satisfaction scores and call resolution metrics.
• Health, dental, and vision insurance plans for employees and dependents.
• 401(k) plan with company match.
• Paid parental leave, sick leave, and vacation time.
• Professional development stipend and tuition reimbursement.
• Wellness initiatives, including virtual fitness classes, mental health counseling, and health coaching.

How to Apply – Take the First Step Toward a Rewarding Career

Ready to make a tangible difference in the lives of diverse communities? Join brighthush as a Bilingual Customer Service Navigator and help us deliver exceptional care to every member. Click the link below to submit your application and take the first step toward an exciting, rewarding career.

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Closing Statement – Join a Mission That Matters

At brighthush, we’re more than a health plan provider—we’re a community of dedicated professionals who believe that every member deserves personalized, compassionate care. If you’re passionate about serving diverse populations, thrive in a remote setting, and want to grow your career while making a real impact, we want to hear from you. Apply today and become a vital part of our mission to empower health for all.