Essential Functions:

• Provides leadership and insight for planning and developing AACHC’s Outreach and Enrollment Department strategies and practices.
• Provides technical assistance and training to health center enrollment staff on best practices related to outreach and enrollment.
• Implements AACHC Outreach and Enrollment grant compliance, working in close collaboration with AACHC’s Grants Department, and collaborates with sub-recipients via regular communication and meetings to ensure grant funds are expended, grant objectives and goals are achieved, and all grant contract terms and conditions are followed.
• Collaborates with AACHC Outreach and Enrollment Department staff to implement AACHC Outreach & Enrollment grants, prepare grant report and application documents for submission, and seeks new grant opportunities.
• Continually increases knowledge and displays competence in Medicaid (AHCCCS), CHIP (KidsCare) and Marketplace eligibility, enrollment, and program specifications.
• Provides technical assistance by applying knowledge of state and federal regulations/requirements of the Navigator and Connecting Kids to Coverage programs, Medicaid, KidsCare and Marketplace eligibility and communicates the information to consumers, AACHC members and grant sub-recipients.
• Develops guidance, training, technical assistance and best practices to Navigators and Certified Application Counselors (CAC) associated with AACHC’s grant funded Outreach and Enrollment programs.
• Provides information in a manner that is culturally and linguistically appropriate to the needs of the population being served.
• Develops and implements public group and individual education activities to raise awareness about affordable coverage options.
• Identifies, develops, and implements training sessions to meet AACHC member and sub-recipient needs.
• Leads and facilitates AACHC’s Education, Engagement and Eligibility (EEE) Peer Networking Committee,
• Maintains annual CMS Navigator certification and AZ State Navigator license, Health-E-Arizona-Plus, and assists consumers as needed.

Supervisory Responsibilities:

No staff supervisory responsibilities. Provides leadership and direction to member’s outreach and enrollment supervisors and Navigator and CK2C sub recipients.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

• Bachelor’s degree preferred in Public Health, or closely related field and work experience or equivalent work experience
• Must have at least 1 year of experience in health care and/or health insurance setting, preferably involving state and federal healthcare programs
• Preferred at least 1-year experience in screening and application assistance using Health-e-Arizona, Marketplace.gov or similar application software.
• Bilingual and able to read, write and speak Spanish proficiently is highly preferred

Certificates and Licenses:

Must have valid Arizona Driver’s license, own private reliable transportation, and have current automotive insurance as required by state law.

Related Information

Physical and Environmental:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Performs essential functions in a climate-controlled office setting requiring long periods of sitting and frequent use of office technology requiring ability to perform keyboard related tasks using hands and close vision. The employee is frequently required to talk and hear. The employee is occasionally required to walk. Functions performed require the ability to regularly stoop, weight objects (bend and reach; additionally, functions include lifting, pushing, pulling, and carrying light to medium up to approximately 35 pounds) on a regular basis.

Regularly required to operate a motor vehicle to attend program functions.

Required Technology Experience:

Demonstrated ability to use intermediate functions and features of Microsoft 365 including: word processing, spreadsheet, presentation, and database applications.

Competencies:

• Establishes trust relationships among the Alliance’s members and partners.
• Demonstrates initial knowledge by attending required HHS-developed training program and pass an exam before assisting consumers, Navigator certification.
• Demonstrates knowledge and competency by completing required training as a Health-e-Arizona Plus user.
• Demonstrates ability to:
  • develop effective working relationships with a variety of individuals to gain support and interest in program’s objectives.
  • apply knowledge of a variety of federal, state, and local resources, programs and services involved with healthcare coverage.
    • use Health-e-Arizona-Plus and the Insurance Marketplace as tools to determine eligibility for healthcare coverage.
  • learn and understand insurance concepts to facilitate answering consumers’ and partners’ questions regarding affordability programs and Marketplace policies.
  • use intermediate functions and features of Microsoft 365 including word processing, spreadsheet, and presentation.
  • work semi- independently with little direct supervision in the efficient and thorough completion of tasks.
  • communicate effectively and ability to present information in clear, concise manner to individuals and groups
  • conduct public speaking, training, and direct educational meetings with groups from 5 – 100 participants by planning, developing instructional materials and speaking.
  • apply knowledge of the principles, practices, and methods of project management.
  • prioritize multiple tasks, assignments, and projects to meet established quality and time requirements.

Primary Purpose:

The O & E Program Manager is certified annually by Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) and licensed by the Arizona Department of Insurance as a Health Insurance Navigator and maintains certification as a Health-E-Arizona-Plus user. The position has consumer contact during coverage counseling sessions and interacts routinely with health center enrollment departments, grant sub-recipients, and consumers requiring the application of knowledge regarding marketing, Medicaid and individual health insurance policies offered by the Marketplace (Healthcare.gov). The O&E Program Manager must utilize skill in providing culturally competent interactions with health center enrollment staff, grant sub-recipients and consumers while communicating information related to Medicaid, CHIP (Children s Health Insurance Program), and the Marketplace. This position works directly with health centers to provide training and guidance for their enrollment and outreach departments. The O&E Program Manager also focuses on all aspects of grant programmatic implementation, compliance and provides support to sub recipients to ensure that funding and impact are maximized.