Front Office, Health Plan Specialist (Managed Care) (On-Site, Lexington)
Passport Health Plan by Molina Healthcare Lexington-Fayette, Kentucky Job ID 2027330Passport Health Plan by Molina Healthcare has a mission to provide quality health care to those who need it, no matter their circumstances. Today, Molina health plans serve 3,331,000 members across the country through government-funded programs. Each day, we work to earn the trust our partners and members put in us, so they can lean on Molina. Together, Passport Health Plan and Molina share a commitment to improving the health and quality of life of our members across the Commonwealth of Kentucky.
- Full Time, Part Time
- Level: All Levels
- Travel: Occassional
Success Profile
What makes you successful at Passport Health Plan by Molina Healthcare? Check out the traits we’re looking for and see if you're the right fit!
- Compassionate
- Consultive
- Patient
- Problem-Solver
- Sincere
- Relationship Expertise
Benefits
-
Insurance
Medical · Dental · Vision
Group & Voluntary Life Insurance
Aflac · Pet Health · Identity Theft
Auto & Home Insurance -
Savings
Flexible Spending Accounts
401K · Roth 401K
Employee Stock Purchase Plan -
Career Growth
Continuing Education Units
Education Reimbursement -
Time Off
Paid Time Off
Volunteer Time Off
Company Holidays -
Additional Perks
Legal Assistance Plan
Employee Assistance & Well Being Programs
Employee Perks Platform
Rideshare Portal
Responsibilities
***This is an In-Office /On-Site position. It will require you to work from our Lexington, KY office M-F 8:30am -5pm***
Passport by Molina Healthcare is hiring for a Front Office, Healthplan Specialist to 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 Molina’s 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 an In-Office position and 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:
- Bachelor’s 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 driver’s 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:
Healthcare, health care, managed care, health, medical assistant, medical, community engagement, organizing, public affairs, public relations, office manager, office assistant, receptionist, office coordinator, admin assistant, administrative assistant, health care, insurance, health insurance, Medicaid, Medicare, health coach, community health advisor, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, , MCO, Managed Care, ACA, FQHC, Behavioral Health, CHW, Community Health Worker, Equity, DPBH, HMO, SDOH, KMP,
Pay Range: $16.23 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 08/08/2024ABOUT OUR LOCATION
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