Treatment Navigator

Job Description

Who We Are :

OptiMed Health Partners optimizes health outcomes and quality of life through personalized and coordinated care. We have been serving patients for over 30 years with a focus on high-quality care in retail pharmacy, specialty pharmacy, and infusion services. The OptiMed Vision reimagines healthcare solutions to achieve unsurpassed value. Our results-oriented culture fosters learning, providing growth opportunities for our employees and exceptional care for our patients in all 50 states.

The Impact of this Role :

As a Tier 1 Treatment Navigation Associate, you are the first line of support for new members. Your efforts create a welcoming and informed experience by initiating member contact and maintaining clear communication, ultimately supporting long-term engagement and positive outcomes. You will serve as a crucial first impression for our members and set the stage for every future interaction they have with OptiMed. The quality and warmth of your communication will directly influence trust, clarity, and adherence to care plans.

What You’ll be Doing :

• Making Welcome Calls to new members to explain the next steps
• Logging and organizing communication across multiple platforms
• Managing inbound and outbound faxes
• Sending and responding to emails and secure messages.
• Responding to members texts via queue management tools.
• Handling queue management tasks (including AI-supported workflows)
• Ensuring all outreach is tracked in member records and systems
• Flagging any clinical concerns or follow-up needs for escalation

Who You’ll be Working With :

You will collaborate with the broader Treatment Navigation Team and coordinate across departments to ensure patients are being onboarded smoothly and efficiently. You’ll work alongside teammates who specialize in different parts of the members’ experience, contributing your part to a synchronized, member-first operation.

Skills and Experience You’ll Bring to the Table :

Competencies You’ll Bring to the Table :

Work environment :

This role may be remote or office-based, depending on team needs. However, initial training must be conducted in person. This position requires daily use of computers and communication systems. You’ll need a quiet, distraction-free environment, as well as reliable access to internet and digital systems to ensure timely patient responses. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions

OptiMed Health Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.