Federal Navigator II (Bilingual)

CentroMed - San Antonio, TX

San Antonio, TX

About the position

As part of the Federal Navigator Grant and under the supervision of the Director - Enrollment Services, the Navigator II will facilitate consumer enrollment in a Qualified Health Plan (QHP) through the Federal Marketplace and/or other health programs such as Medicaid, CHIP, Title V, Primary Health Care, Methodist Healthcare Ministries and assist qualified individuals in making informed decisions on the selection of a health plan. The Navigator II will conduct outreach and education activities to consumers and businesses about the availability and affordability of available insurance programs. The Navigator II will provide services to all consumers, including but not limited to, CentroMed patients and area residents, particularly residents under-represented in the health insurance market. The Navigator II will be required to complete up to 30 hours of Navigator training through CMS and the HHSC Community Partner Program to obtain consumer assistance certification and will be required to recertify on an annual basis.

Responsibilities

• Provide confidential application assistance and facilitate enrollment of eligible patients and community members in health insurance programs.
• Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Federal Marketplace and other health coverage programs such as Medicaid and CHIP.
• Prepare and submit narrative and statistical reports daily as required by the Federal Navigator Grant.
• Implement outreach strategies to promote the availability of health insurance and encourage participation of consumers particularly in communities that are under-served and under-represented in the current health insurance market.
• Conduct inreach, outreach and education activities to inform CentroMed patients, consumers, businesses, community organizations and other stakeholders about insurance affordability through the Marketplace, Medicaid and or CHIP to encourage participation.
• Provide information and assistance in the consumer's preferred language and/or provide limited-English proficiency consumers with oral and written notices of their rights to receive language assistance services and how to obtain such services.
• Provide referrals for consumers with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies.
• Ensure the protection and security of a consumer's personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.
• Assist with the development and dissemination of marketing and promotional materials for outreach, application assistance and education activities that are tailored to CentroMed's service delivery area and target population.
• Assist in training new employees in performing their duties as requested.
• Prepare and submit narrative and statistical reports to the Manager as required by funding sources.
• Comply with TDH, state, and private funding requirements.
• Participate in the agency's Quality Improvement Program.
• Perform other duties as assigned.

Requirements

• Bachelor's degree in Social Work, Public Health, Psychology, Business, Public Administration, or Social and Behavioral Sciences from an accredited college or university.
• Experience in helping people access social services.
• Specific experience with enrollment in health insurance programs including assisting people with the insurance application, facilitating enrollment, explaining insurance policies, and selecting a plan that best suits them is preferred.
• Working knowledge of Your Texas Benefits application process, Texas Medicaid Program, CHIP, and the public assistance benefit application is desirable.
• Strong oral and written communication skills.
• Ability to work effectively and professionally in a fast-paced environment.
• Knowledge of and ability to work with the uninsured, under-served and under-represented populations.
• Must have advanced computer skills and experience with Word, Excel, Outlook, Publisher and PowerPoint programs.
• Must be able to type at least 40 wpm.

Nice-to-haves

• Experience with community organizing outreach strategies to promote programs, sales or marketing is preferred.
• Spanish and English bilingual preferred.

Benefits

• Equal opportunity employer committed to a diverse and inclusive workforce.