OPS - Navigator I

Job Description

Job Description

Position Summary:

The Certified Navigator, under the supervision of the Practice Manager, will provide outreach & enrollment assistance into the Maryland Health Benefits Exchange. Their main goal is to educate and explore health coverage options for Montgomery & Prince George’s Counties residents. This position must obtain and maintain certification from the State.

Key Functions & Responsibilities:

• Very knowledgeable of the healthcare environment and understanding of the medical insurance process.
• Ability to be self-directed and interact professionally across multiple disciplines.
• Conduct health insurance literacy workshops throughout the service area.
• Distribute information regarding Maryland Health Benefits Exchange, including eligibility requirements for applicable federal tax subsidies and cost-sharing assistance; eligibility requirements for Medicaid and Maryland Children’s Health Plan (MCHP), and Qualified Health Plans (QHP); and how to enroll in Medicaid, MCHP or QHPs in the exchange.
• Facilitate plan selection based on the needs of the individual/family seeking health insurance coverage, assess tax implications and premium and cost-sharing requirements, application submission, renewal, and disenrollment processes.
• Facilitate eligibility determinations for QHP, Medicaid, MCHP, SHOP, and premium tax subsidies.
• Provide referrals to appropriate agencies, including the Attorney General’s Health Education and Advocacy Unit (HEAU) and the Maryland Insurance Administration (MIA), for applicants and enrollees with grievances, complaints, questions, or the need for other social services.
• Schedule first appointments for newly insured consumers at any of our sites 
• Provide all information and services in a manner that is culturally and linguistically appropriate and ensures accessibility for individuals with disabilities throughout Montgomery and Prince George’s Counties.
• Foster collaboration with partner organizations, providers, and customers.
• Provide ongoing support to clients related to these functions.
• Other duties as assigned.

Minimum Qualifications :

• 1-3 years of experience working directly with clients, customers, or in a community outreach role preferred.
• Maryland Navigator Certification required.
• Experience in benefit eligibility or enrollment and/or work experience as an Enrollment Service Representative preferred.
• Ability to communicate effectively orally and in writing.
• Proficient in Microsoft Office Suite including Word, Excel, Access, PowerPoint, and Adobe PDF Professional.
• Able to work independently.
• Must be able to work evening and weekend hours.