Provides information and education on Medicare and Medi-Cal managed care programs to qualified beneficiaries, community-based organizations, and the general public by cultivating and sustaining positive working relationships with community organizations serving Medi-Cal beneficiaries.
COMPLIANCE WITH REGULATIONS:
Works closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner by CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS, and DHMC.
RESPONSIBILITIES
- Provides information about CHG by conducting presentations and outreach to staff and clients of community organizations, and medical, dental, and optometry offices.
- Enroll eligible individuals into the Community Health Groups Medicare and or Medi-Cal plans.
- Promotes CHG's mission by organizing and participating in community health fairs and other events.
- Supports team effort by performing other duties as assigned or requested; participating in meetings and on committees; attending workshops, training, and seminars; continuing professional development; networking; following corporate, division, personnel, and safety policies and procedures.
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- Maintains product and company reputation and contributes to the team effort by conveying a professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.
- Conducts provider surveys, and community outreach, and assists other departments within the organization as needed.
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- High school diploma.
- Must possess a Resident Insurance Producer Accident and Health Agent License to be considered for the position. If you do not hold the required license, Community Health Group will still consider you for the position and will require proof of license upon hire.
Experience/Skills:
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- Bachelor's degree in marketing or related field preferred.
- Current CA driver's license, proof of auto insurance and working car.
- 1-year successful community outreach experience, preferably related to healthcare and/or Medi-Cal managed care plans.
- Knowledge of Medi-Cal managed care plan benefits and eligibility requirements and Community Health Group programs and services.
- Familiarity with community social service organizations and groups.
- Excellent oral communication skills.
- Bilingual ability in English/Spanish required
- Self-directed; ability to recognize and capitalize upon opportunities to promote CHG programs and services in many different venues.
Physical Requirements:
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- Constant driving within SD County
- Public speaking.
- Will be required to work evenings and/or weekends and to carry needed equipment for community events, in personal car (e.g., canopy, helium tank(s), materials, etc.).
Physical Requirements:
- Constant driving within SD County
- Public speaking.
- Will be required to work evenings and/or weekends and to carry needed equipment for community events, in personal car (e.g., canopy, helium tank(s), materials, etc.).
The above statements describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Community Health Group is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
Skills Required
- High school diploma
- Resident Insurance Producer Accident and Health Agent License
- Bachelor's degree in marketing or related field
- Current California driver's license, proof of auto insurance, and access to a working car
- Minimum 1 year community outreach experience, preferably healthcare or Medi-Cal managed care
- Knowledge of Medi-Cal managed care plan benefits, eligibility requirements, and Community Health Group programs
- Familiarity with community social service organizations and groups
- Excellent oral communication and public speaking skills
- Bilingual in English and Spanish
- Self-directed with ability to identify outreach opportunities
- Ability to work evenings and weekends as required
- Ability to transport and set up equipment for community events in personal vehicle
