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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Network Navigator - **Company:** Mass General Brigham - **Location:** Somerville, MA, United States (Remote available) - **Salary:** $53,040.0 - $75,899.0 - **Contract:** Permanent contract - **Skills:** Law Practice Management Software, Computer Networks, Network Administration, Electronic Medical Records, Network Optimization - **Published:** August 11, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=af3a2a8a8ac8c8fb ## About the Role * Bachelor's Degree required; experience can be considered in lieu of a degree, * At least 1-2 years of social work, case management, or related field, ideally in a clinical setting, preferred * At least 2-4 years of experience in healthcare navigation, care coordination, member services, or managed care highly preferred * Strong understanding of health plan provider networks, referral and authorization processes, and member benefits and access requirements highly preferred, * Experience in a health plan, managed care organization, or population health program * Clinical background (RN, LPN, or allied health professional) strongly preferred * Experience working with Medicaid, Medicare, or dual-eligible populations * Familiarity with network adequacy, access standards, and compliance requirements Knowledge, Skills, and Abilities * Strong knowledge of healthcare resources, community services, and patient advocacy. * Excellent communication and interpersonal skills. * Ability to collaborate effectively with healthcare professionals across multiple disciplines and experiences. * Strong organizational and time management skills. * Familiarity with electronic health records and case management software. ## Description The Network Navigator is responsible for proactively guiding health plan members to appropriate, high-quality, in -network providers to improve access to care, reduce leakage, and enhance member experience. This role serves as a key connection point between members, providers, and internal teams to overcome access barriers, schedule appointments, and ensure timely, coordinated care within the plan's provider network. The Network Navigator will work with Utilization Management, case management, and provider/facility-based discharge planners to ensure access and guidance to in-network facilities and providers to reduce the administrative burden on members and reduce out-of-network utilization, when appropriate., Member Navigation & Access to Care * Proactively assist members in identifying and accessing in-network primary care, specialty care, and ancillary services * Educate members on the benefits of using in-network providers, including cost savings and continuity of care * Support appointment scheduling, follow-ups, and referrals to reduce delays in care * Assist members facing access challenges (e.g., provider availability, geographic barriers, transportation, language needs) Network Utilization & Leakage Reduction * Identify and address out-of-network utilization drivers and work to redirect care to in-network providers when clinically appropriate * Collaborate with utilization management, care management, and provider relations teams to close network gaps * Monitor member interactions to identify high-risk leakage patterns and access barriers Provider Coordination * Coordinate with provider offices to confirm network participation, availability, and appointment scheduling * Assist providers with member onboarding, referral workflows, and benefit clarification when needed * Escalate provider access or capacity issues to Network Management or Provider Relations Member Education & Engagement * Explain health plan benefits, referral requirements, and network rules in clear, member-friendly language * Serve as a trusted point of contact to reduce member confusion and frustration * Support new members, high utilizers, and members with complex needs during care transitions Documentation, Tracking & Reporting * Document member outreach, navigation activities, and outcomes in care management or CRM systems * Track metrics related to access to care, appointment completion, network utilization, and member satisfaction * Identify trends and provide recommendations for network optimization and member engagement strategies Collaboration & Quality Support * Partner with clinical teams, quality improvement, care management, and customer service to support integrated member care * Support health plan initiatives related to access standards, CAHPS improvement, and regulatory compliance * Participate in interdisciplinary meetings and quality improvement efforts ## Related Videos - [Demystifying application networking in the cloud](https://www.wearedevelopers.com/videos/675-demystifying-application-networking-in-the-cloud) - [Distributed search under the hood](https://www.wearedevelopers.com/videos/256-distributed-search-under-the-hood) - [Build Delightful Mobile Experiences with Kotlin, Realm, and Atlas Device Sync](https://www.wearedevelopers.com/videos/694-build-delightful-mobile-experiences-with-kotlin-realm-and-atlas-device-sync) - [Trends, Challenges and Best Practices for AI at the Edge](https://www.wearedevelopers.com/videos/630-trends-challenges-and-best-practices-for-ai-at-the-edge) - [Full Spectrum File Uploads](https://www.wearedevelopers.com/videos/870-full-spectrum-file-uploads) - [Embracing the Hybrid Cloud: Unlocking Success with Ansible](https://www.wearedevelopers.com/videos/932-embracing-the-hybrid-cloud-unlocking-success-with-ansible) ## Related Articles - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Basic And Advanced Networking in Dart and Flutter](https://www.wearedevelopers.com/magazine/112-basic-and-advanced-networking-in-dart-and-flutter) - [How to land a developer job in Amsterdam](https://www.wearedevelopers.com/magazine/36-how-to-land-a-developer-job-in-amsterdam) - [Everything a Developer Needs to Know About MCP with Neo4j](https://www.wearedevelopers.com/magazine/604-everything-a-developer-needs-to-know-about-mcp-with-neo4j) - [Best Companies to work for in London: Top 25 Companies in 2023](https://www.wearedevelopers.com/magazine/187-best-companies-to-work-for-in-london-top-25-companies-in-2023) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers)