Insurance Navigation Manager

Insurance Navigation Manager

Job Number:
Category: Administrative Professional
Location: Worcester, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: UMass Chan Medical School
Department: School - Shriver Center - W408200
Job Type: Full-Time
Union Code: Non Union Position
-W60
- Non Unit Professional
Num. Openings: 1
Post Date: July 10, 2025

Under the general direction of the Center Director or designee, the Insurance Navigation Manager provides information, resources, and technical assistance to consumers, providers, educators, employers, and others around issues related to insurance coverage for autism and behavioral health. The Insurance Navigation Manager works as part of a small team, collaborating with other Navigation Managers and community partners.

• Assist families and providers in understanding health care benefits including autism and behavioral health care in Commercial Insurance policies.
• Educate members and families on commercial health insurance coverage based on their summary plan descriptions and explain how Mass Health benefits work in conjunction with private health insurance.
• Provide information on the application process for Mass Health secondary insurance for families with commercial insurance, and help families analyze the cost-benefits of this.
• Assist with tracking TPLs, Disability supplements, and Premium Assistance Applications.
• Interact with providers, families, Mass Health staff, insurers, and regulators to resolve issues and barriers related to autism and behavioral health care treatment.
• Make appropriate referrals to various Mass Health units such as TPL Identification, Mass Health Standard and Common Health Premium Assistance, Disability Evaluation Services, as required.
• Maintain record of calls and follow-ups in secure database.
• Summarize major issues and/or trends that require higher-level resolution.
• Attend meetings with partners and prepare reports.
• Participate in community outreach events, Center events, and public presentations.
• Assist with grant applications, reporting, and fundraising activities.
• Adhere to University, State and funding agency policies and procedures.
• Other duties and/or projects as assigned.

• Masters degree in business, Law, Public Health/Education, or related health care field; or equivalent.
• 5 years experience in Business, law, project management, grant submission, and fiscal responsibility
• 1+ year supervisory/leadership experience preferred.
• Experience working in and/or with consumers, providers, educators, and others.
• Familiarity with the policies and procedures of funding agencies
• Ability to effectively communicate with diverse faculty
• Proficiency or willingness to learn multiple software and communication platforms.
• Proven administrative and management ability in complex environments
• Excellent writing, editing, communications, interpersonal, and organizational skills
• Ability to travel to off-site locations
• Fluency in English and Spanish or Portuguese preferred.

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.