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Health Enrollment Specialist- OPH Region 2

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Posted : Monday, August 12, 2024 12:23 AM

*Navigators for a Healthy Louisiana* *JOB DESCRIPTION* Position / Title: Navigators for a Healthy Louisiana – Navigator Date Issued: February 2024 Duration of Position: Reports Directly To: Navigators for a Healthy Louisiana Program Director Must reside in one of the following parishes (OPH Region 2): Ascension, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, West Baton Rouge, West Feliciana, St.
Helena *STATEMENT OF PURPOSE* The State-wide Lead Navigator will facilitate enrollment in qualified health plans offered by the Insurance Marketplace Exchange and provide information, to the currently uninsured or underinsured populations, in a manner that is culturally and linguistically appropriate to their needs in their assigned community.
Navigator will be required to assist individuals in-person, over the phone, and virtually.
*MAJOR TASKS, DUTIES, AND RESPONSIBILITIES* 1.
Conduct public education activities to raise awareness of the availability of qualified health plans; 2.
Distribute fair and impartial information concerning enrollment in qualified health plans, and the availability of premium tax credits and cost-sharing reductions; 3.
Facilitate enrollment in qualified health plans; 4.
Create short, easy to understand group presentations which reach multiple people at one time.
5.
Conduct outreach, education and enrollment and present the options available, in the State of Louisiana, under the Affordable Care Act as it relates to the Exchange.
6.
Provide referrals to Louisiana Department of Insurance, health insurance ombudsman or any other appropriate State agency, for any enrollee with a grievance, complaint, or question regarding their health plan, coverage, or a determination under such plan or coverage.
7.
Provide technical support to other Navigators on issues such as eligibility, marketplace, appeals, etc.
8.
Assist in the development of technical information to be disseminated to the community.
This includes but is not limited to website info, and newsletter info, marketplace info, and other important marketplace changes.
*The above statement includes, but is not limited to, the general duties that are necessary to perform the primary function of the job.
These statements are not to be considered as a detailed description of all of the work requirements that may be included in the position* *JOB REQUIREMENTS* 1.
Education – Qualifications – Training * BA/BS Degree from a four-year college or university preferred.
* Experience working with large groups of people.
* Demonstrated / proven community outreach abilities.
* Must have a drive to succeed, a winning attitude, and interest in helping consumers navigate the health insurance marketplace.
* Must demonstrate a nonbiased approach to the Patient Protection and Affordable Care Act.
* Cannot have conflicts of interest, financial or otherwise.
* Must comply with the Exchange’s privacy and security standards.
* Demonstrated experience building community relationships.
* Knowledge of computer software applications.
* Well developed oral and written communication skills.
* Through knowledge of the marketplace and proven experience trouble-shooting technical issues.
Training The Navigator will be responsible for participating in all training activities required by the ACA, HHS, and the State of Louisiana as well as any additional training needed to perform Navigator duties.
This includes but not limited to: * 30-hour HHS Certification (Must be certified to conduct Navigator duties) * Navigators for a Health Louisiana Training * Advocacy Center Training / Working with Disabled Communities * Cultural Competency Training / Working with Non-English Speaking Communities * Any state certification training or licensing requirement needed to operate as a Navigator in the State of Louisiana.
2.
Physical Demands and Working Conditions * Physical mobility * Frequent travel throughout the region.
* Reliable transportation, current license and auto insurance.
* Non-traditional work hours that could include weekends.
Job Type: Full-time Pay: $42,000.
00 per year Benefits: * 401(k) * Dental insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday * Weekends as needed Application Question(s): * Able to pass a criminal background check Language: * English (Required) Willingness to travel: * 75% (Required) Work Location: On the road

• Phone : NA

• Location : Baton Rouge, LA

• Post ID: 9075708443


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