Community Educator--Medicaid HMO
Company Name:
AmeriHealth Caritas
Position Type:
Full-time
Under the supervision of the Marketing/Community Educator Supervisor, this position promotes The Health Plan's programs throughout the state via site visits and participation in community events. Identifies and directs potential Medicaid and uninsured candidates appropriately to The Plan's programs. Develops implements and manages community event opportunities and coordinates these activities with the Community Education staff. Educates potential Medicaid recipients on how to enroll and access the enrollment broker system for plan enrollment. Assists members with concerns and directs them to the Member Services department.
Note: This is a Telecommuting position. Applicants must be willing to travel/live within the Shreveport, LA Region 7.
Principal Accountabilities:
Presents and explains program benefits to potential members.
Educates and assists potential members on how to enroll in our programs via the enrollment broker process.
Develops implements and manages community outreach opportunities and activities ensuring that the activity is staffed and supplied adequately.
Works with various community agencies to coordinate meetings and activities that will allow the company to establish a relationship within assigned service areas.
Supports member retention and assists auto enrollees with the selection of primary care physicians, explains program benefits and assists in follow-up to Member Services for members with concerns.
Establishes and maintains professional relationships at scheduled sites and at community events.
Maintains proper appearance relative to the set-up of materials and tables at community sites and events.
Adheres to flexible scheduling to include weekends, evenings and special events.
Seeks out and identifies opportunities within the community for site setup and event participation.
Keeps abreast of current market changes and competitor activities, and informs management of activities that may affect member enrollment.
Maintains and follows proper protocol for encounter forms, daily log submissions and other back office responsibilities.
Maintains and submits all paperwork requirements accurately and within proper time lines.
Coordinates and implements face-to-face education and outreach sessions/workshops for members and potential members based on referrals from various departments.
Coordinates and provides telephone outreach and education to new members to improve their knowledge of Plan design and benefits.
Position Qualifications/Requirements:
Education and Training:
High school diploma or GED equivalent, Associate's degree in Business Administration preferred.
Experience:
Two to three years' experience in sales, service, support or community-based marketing.
Knowledge of the healthcare industry and marketplace preferred.
Knowledge and experience with community organizations and event planning preferred.
Licenses, Registrations or Certifications:
Health Insurance License - must be obtained within 6 months of employment.
Job Description needs to be entered
Company Description:
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill, impacting the lives of nearly 5-million individuals nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we've become known for developing innovative solutions that help maximize health outcomes while reducing costs. Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP--plus pharmacy benefit management, behavioral health and administrative services.
With the backing of two of the largest and most well-respected Blues insurers, Independence Blue Cross and Blue Cross Blue Shield of Michigan, we have the resources and experience necessary to tackle even the biggest health care challenges. Our strength lies in our collaborative approach: we work closely with our partners and health care systems to build accessible, flexible health care solutions that offer lasting results for members across the nation. Through outreach and grassroots advocacy, we develop a firm understanding of the unique health care needs of each community we serve, allowing us to customize our programs to best improve the health of those who call the community home. Estimated Salary: $20 to $28 per hour based on qualifications.
AmeriHealth Caritas
Position Type:
Full-time
Under the supervision of the Marketing/Community Educator Supervisor, this position promotes The Health Plan's programs throughout the state via site visits and participation in community events. Identifies and directs potential Medicaid and uninsured candidates appropriately to The Plan's programs. Develops implements and manages community event opportunities and coordinates these activities with the Community Education staff. Educates potential Medicaid recipients on how to enroll and access the enrollment broker system for plan enrollment. Assists members with concerns and directs them to the Member Services department.
Note: This is a Telecommuting position. Applicants must be willing to travel/live within the Shreveport, LA Region 7.
Principal Accountabilities:
Presents and explains program benefits to potential members.
Educates and assists potential members on how to enroll in our programs via the enrollment broker process.
Develops implements and manages community outreach opportunities and activities ensuring that the activity is staffed and supplied adequately.
Works with various community agencies to coordinate meetings and activities that will allow the company to establish a relationship within assigned service areas.
Supports member retention and assists auto enrollees with the selection of primary care physicians, explains program benefits and assists in follow-up to Member Services for members with concerns.
Establishes and maintains professional relationships at scheduled sites and at community events.
Maintains proper appearance relative to the set-up of materials and tables at community sites and events.
Adheres to flexible scheduling to include weekends, evenings and special events.
Seeks out and identifies opportunities within the community for site setup and event participation.
Keeps abreast of current market changes and competitor activities, and informs management of activities that may affect member enrollment.
Maintains and follows proper protocol for encounter forms, daily log submissions and other back office responsibilities.
Maintains and submits all paperwork requirements accurately and within proper time lines.
Coordinates and implements face-to-face education and outreach sessions/workshops for members and potential members based on referrals from various departments.
Coordinates and provides telephone outreach and education to new members to improve their knowledge of Plan design and benefits.
Position Qualifications/Requirements:
Education and Training:
High school diploma or GED equivalent, Associate's degree in Business Administration preferred.
Experience:
Two to three years' experience in sales, service, support or community-based marketing.
Knowledge of the healthcare industry and marketplace preferred.
Knowledge and experience with community organizations and event planning preferred.
Licenses, Registrations or Certifications:
Health Insurance License - must be obtained within 6 months of employment.
Job Description needs to be entered
Company Description:
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill, impacting the lives of nearly 5-million individuals nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we've become known for developing innovative solutions that help maximize health outcomes while reducing costs. Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP--plus pharmacy benefit management, behavioral health and administrative services.
With the backing of two of the largest and most well-respected Blues insurers, Independence Blue Cross and Blue Cross Blue Shield of Michigan, we have the resources and experience necessary to tackle even the biggest health care challenges. Our strength lies in our collaborative approach: we work closely with our partners and health care systems to build accessible, flexible health care solutions that offer lasting results for members across the nation. Through outreach and grassroots advocacy, we develop a firm understanding of the unique health care needs of each community we serve, allowing us to customize our programs to best improve the health of those who call the community home. Estimated Salary: $20 to $28 per hour based on qualifications.
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