Front Office, Health Plan Specialist (Managed Care) (On-Site, Lexington) - Military Veterans

***This is anIn-Office /On-Siteposition. It will require you to work from our Lexington, KY office M-F 8:30am -5pm***

Passport by Molina Healthcareis hiring for a Front Office, Healthplan Specialistto serve in the Lexington, Kentucky office. This position will be based out of our Lexington One Stop Help Center and will assist consumers and enrolled members with navigating the healthcare system as it relates to plan benefits, eligibility, and enrollment. This position will develop, coordinate and/or support community outreach efforts which will further promote Molinas mission to improve the health and quality of life of our members.

There may be rare occasions where you will attend community events which could be after working hours and/or on the weekends.

This is anIn-Officepositionand has hours of Mon-Fri from 8:30am to 5pm. All candidates must live within a reasonable commute.
Bilingual skills in any language great, specifically Swahili or Arabic.

Essential Functions:

• Serves as the primary contact at the One Stop Help Center office for telephonic inquires, emails, walk-ins, etc. to ensure a positive customer experience.
• Welcomes visitors and is responsible for custody, issuance, and retrieval of visitor badges and maintains a tracking log for all badge issuance and retrieval activity.
• Provides education and resources as it relates to the Plan, Medicaid, and Affordable Care Act, as well as assumes the role as an advocate for those consumers that need assistance as it relates to benefits and eligibility.
• Assists and/or supports outreach initiatives to members, key advocates and agencies as well as service providers to promote the Plan.
• Explaining and encouraging members to sign up for the Member Portal, text, and email opt-ins.
• Participates in local, regional and or statewide events and/or campaigns as necessary to promote the Plan.
• Foster relationships with advocates, members and community leaders through various means of communication.
• Identify businesses located in communities to provide educational and outreach materials as appropriate.
• Assists community engagement staff in making outbound calls to members, advocates, service providers to support Plan initiatives.
• Research territories to determine where potential outreach opportunities exist and work with One Stop Help Center Manager to develop an outreach strategy to increase and maintain enrollment.
• Assists with onsite events, health education and/or meetings at the One Stop Help Center, including follow-up action/reporting.
• Provides resources to those members in the communities we serve through use of Community for Me database, as well as coordinates with our clinical staff to enhance programs to support improved health outcomes.
• Receives and processes all incoming mail and parcels for office location.
• Manages and coordinates office supplies, inventory, and facility maintenance.
• Performs all other duties as assigned.

Position Qualifications/Requirements

Education and Training:

• Bachelors degree in Marketing, Public Relations, or related field preferred, or equivalent experience.
• Minimum 3 years of experience coordinating external activities, member enrollment and eligibility, and member recruitment in a managed care environment preferred.
• Comprehensive knowledge of Kentucky Medicaid, Passport Health Plan by Molina Healthcare, and Affordable Care Act benefits and eligibility rules preferred.
• Three years of Medicaid experience, including policies related to Medicaid or five years of Health Insurance sales and enrollment preferred.
• Must be a Native or Local to this region with a strong understanding of the community needs.
• Reliable transportation and active automobile insurance required.
• Computer experience to include utilizing Microsoft Office, Outlook.

Licenses, Registrations or Certifications:

• Must have a valid drivers license.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Key Words:
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Pay Range: $16.23 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.