The Health Exchange Navigator will facilitate enrollment in qualified health plans to individuals and families by providing information to individuals and families in a manner that is culturally and linguistically appropriate. Health Exchange Navigators will provide information necessary to determine which health insurance option best fits their needs and help them enroll in their plan of choice. Navigators educate individuals on program eligibility, methods of purchase, reasons to purchase, definitions of health insurance terms, access to enrollment localities, among other topics. They also are able to answer enrollment questions and give unbiased explanations of the plans offered on NevadaHealthLink.com.

Salary

Dependent on Experience

Reporting Relationships

Reports to the Health Services Manager

Duties & Responsibilities

• Maintains expertise in eligibility, enrollment, and program specifications
• Conducts public education activities to raise awareness about the marketplace
• Provides information and services in a fair, accurate, and impartial manner; including information that acknowledges other health programs such as Medicaid and CHIP
• Facilitates selection of a qualified health plans
• Provides referrals for enrollees with questions, complaints, or grievances about their health plan, coverage, or a determination under such health plan or coverage to any applicable office of health insurance consumer assistance or health insurance ombudsman or any other appropriate state agency or agencies
• Provides information in a culturally and linguistically appropriate manner, including to persons with limited English proficiency
• Ensures accessibility and usability of Navigator tools and functions for persons with disabilities
• Accomplishes additional tasks as appropriate

Experience & QualificationsEducation & Experience

• High School Diploma
• Must be able to achieve and maintain Health Exchange Navigator Certification
• Must have a valid driver’s license and reliable transportation for commuting to community events
• 1+ years’ customer service experience
• Outreach and advocacy experience preferred
• Health insurance experience preferred

Qualifications

• Must be able to speak a second language; preferably in Cantonese/Mandarin.
• Must possess a thorough knowledge of modern office practices, procedures, and equipment, including computers, copiers, and other standard office equipment.
• Ability to work independently, organize, monitor, and adjust work as necessary to ensure accuracy and timeliness.
• Demonstrated ability to identify and solve problems.
• Must have adequate training on the Exchange, Medicaid, and other public programs and the private insurance market in the state.
• Must be able to interact with staff at all levels, other government officials, governing boards, private agencies, auditors, and contractors.
• Must be free from conflicts of interest, including payments and incentives from insurers or industry.
• Must be able to explain eligibility, benefits, cost-sharing, and appeals processes to consumers.
• Must be able to provide information to individuals and families in a way that can be understood, in a culturally sensitive manner, for those with low-proficiency English, and people with disabilities who have special communication needs.
• Must be able to effectively serve low-income, disadvantaged, and hard-to-reach populations.

Work Environment & Schedule Working Conditions

Office setting. Ability to sit and/or stand for long periods of time. Bending, stooping, and lifting (up to 50lbs.) may be required. Interaction with clients and other office personnel. Must have visual acuity and manual dexterity to interface with the computer. Must have the auditory acuity to handle phone calls.

Work Schedule

Monday through Friday, 9:00 am to 5:00 pm. Will require work outside of usual business hours; including evenings and weekends.