Navigators for a Healthy Louisiana

JOB DESCRIPTION

Position / Title:  Navigators for a Healthy Louisiana – Enrollment Specialist Navigator

Date Issued: ­ August 2023

Duration of Position: 

Reports Directly To:  NHL-Data Coordinator

Statement of Purpose

Navigators 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. Navigators will serve an important role in educating and enrolling individuals and groups that typically will not enroll unless called upon.
Major Tasks, Duties, and Responsibilities
 

1. Conduct public education activities to raise awareness of the availability of qualified health plans as needed.
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. Conduct outreach, education as needed, and enrollment opportunities; presenting the options available, in the State of Louisiana, under the Affordable Care Act as it relates to the Exchange.
5. 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.

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
Job function/ skill sets requirements: 

- Highly skilled in computer technical savvy.
- BA/BS Degree from a four-year college or university preferred.
- Experience working with large groups of people.
- Experience with Consumer Health Insurance enrollment preferred.
- Demonstrated/proven community outreach abilities.
- Must have a drive to succeed, a winning attitude, and an 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 in building community and consumer relationships.
- Proven knowledge of computer software applications.
- Excellent data entry skills, including proficiency in Excel, Word, Salesforce, and other online platforms.
- Proven competency in navigating websites and assisting consumers with filling out online forms.
- Well-developed oral and written communication skills.
- Excellent phone skills, including appointment setting and scheduling.
- Proficiency in navigating computer application systems and methods.
Additional Requirement: Proficiency in navigating computer application systems and methods.

Training

The Navigator will be responsible for participating in all training activities required by the ACA, HHS, SWLAHEC, 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
• Community Mapping Training
• 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
• Some travel throughout the region.
• Reliable transportation, current license, and auto insurance.
• Non-traditional work hours that could include weekends.
• Ability to sit and or stand for extended periods of time.