JOB ANNOUNCEMENT. POSITION TITLE: Small Business Health Options Program Co-Lead (SHOP)

Transcription

1 JOB ANNOUNCEMENT POSITION TITLE: POSITION NUMBER: HOURS: Time limited Part-time 20 hours per week (.5 FTE) This position is time limited through December 31, The position requires flexibility in scheduling, flexibility in work location (all within Larimer County), and occasional night and weekend events. SALARY RANGE: $18,658 - $21,996 per year (equivalent.5 FTE) $ $21.15 per hour, DOQ Grade 8 Non-Exempt TO APPLY: DEADLINE FOR APPLYING: Send resume and cover letter to: Search Coordinator Health District of Northern Larimer County 120 Bristlecone Drive, Fort Collins, CO Fax to searchcoordinator@healthdistrict.org To receive full consideration, materials must be received by 5pm on Friday, December 20, 2013; however, position remains open until filled. QUALIFICATIONS: Required Education or formal training: At least a B.A. in health, human services, social science, human resources, business, or other relevant field Experience: At least one year related experience

2 2 Knowledge, Skills and Abilities: Knowledge of health insurance and health service delivery Ability to provide accurate information to individuals, families and small businesses in a way that can be easily understood. This includes presenting information to diverse audiences, which could include those with limited understanding of health insurance, those with low-proficiency English, people with disabilities who have special communication needs, etc. Exceptional skills in project planning, coordination and achievement of project goals and objectives Excellent communication skills, including the ability to write standard, grammatical English effective for various audiences and media and ability to make oral presentations Intermediate to advanced computer skills (word processing, spreadsheet, and internet) Ability to accurately, neutrally and simply convey complex information and to translate complex policy and insurance jargon into plain language Ability to recognize cultural, language, and learning differences and to work with diverse populations Ability to maintain a positive, professional demeanor with contacts, the public and coworkers Demonstrated ability to work both cooperatively and independently Demonstrated ability to be flexible, handle multi-faceted tasks and changing priorities Demonstrated ability to be a strong team player Ability to communicate well verbally and in writing and to keep accurate and complete records Demonstrated effective and efficient work style Be free of conflicts of interest, including payments and incentives from insurers or industry Ability to meet confidentiality and privacy standards

3 3 Material and Equipment Directly Used: Computer, keyboarding, scanner, fax machine Working Environment/Physical Requirements: 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. o Must have close visual acuity to perform an activity such as: preparing and analyzing data and figures, viewing a computer terminal, expansive reading. o Must be able to sit or stand for prolonged periods: eye-hand coordination and manual dexterity sufficient to operate a computer terminal, telephone, photocopies and other office equipment. o Must have normal physical mobility, which includes movement from place to place on the job. o Must have the ability to communicate information and ideas in speaking so others will understand. Infection Control Requirements: Healthcare workers are required to comply with infection control policies including immunity to Measles, Rubella, Mumps, Varicella, and Pertussis. Proof of immunization record is required. An annual screening for Tuberculosis and annual influenza vaccination are also required. Reliable vehicle; valid driver s license and insurance This position may involve frequent travel within Larimer County to mobile locations Special consideration will be given to applicants who have: Experience in working directly with small business owners and/or knowledge of challenges small businesses face in providing health insurance Advanced degree in health, human services, social science, human resources, business, or other relevant field or other relevant discipline Knowledge of current public coverage programs, including Medicaid and CHP+ Experience understanding health insurance options and explaining options to customers Bilingual skills written and verbal (Spanish/English)

4 4 REPORTS TO: Director of Special Projects GENERAL DUTIES/PURPOSE: The Connect for Health Assistance Network is crucial to the Colorado Health Benefit Exchange s customer service experience and to the overall success of linking people to appropriate health coverage. The SHOP Lead will be fully trained as a Health Coverage Guide and will provide direct support to clients who are eligible for health insurance through the Connect for Health Colorado Marketplace. The SHOP lead will also receive specific training on the Small Business Health Insurance Options Program (SHOP). SHOP is the division of the Colorado Health Benefit Exchange that will provide small group plan options to Colorado employers with 2-50 employees. The SHOP Lead will work with the Director of Special Projects to develop and effectively implement a plan to help educate small businesses about their coverage options, provide assistance with the enrollment process, and provided account management, when needed. SPECIFIC DUTIES: 1) As the SHOP Lead, develop and implement a project plan to support small employers and their employees with education and information about the SHOP, the division of the Exchange that serves employers, including information about: a) Options with respect to employer and employee choice; b) Procedures for enrolling in qualified plans; and c) The availability of applicable employer tax credits and employee premium or cost sharing discounts. 2) Help employers understand details of the changes, including such things as contribution strategies and how they affect the employer and explain to employees the waiver process, its importance and how it relates to Life Change Events. 3) Facilitate the selection of a qualified plan(s), based on the needs of the employees. 4) Facilitate the application processes for small businesses. 5) Facilitate enrollment of employees in the plan(s) by: a) Assisting the employer with uploading employee rosters to the SHOP website that include information about which employees will be receiving benefits, the benefit amount and type; b) Assisting small business employees in accessing their SHOP accounts, selecting plans, and enrolling into coverage, or c) When an employer does not choose a plan, assist employees in selecting coverage through the individual Marketplace. 6) Conduct eligibility determinations and redeterminations for premium and cost sharing discounts for employees.

5 5 7) Coordinate the use of HSA, HRA and/or FSA accounts with employers and employees. 8) Provide referrals to appropriate agencies, for applicants and enrollees with grievances, complaints, or questions; provide referrals to other professionals when appropriate. 9) Provide all information and services in a manner that is culturally and linguistically appropriate and ensures accessibility for individuals with disabilities. 10) Provide ongoing account service for employers and employee support. 11) Help coordinate the training and work assignments of other Health Coverage Guides to provide SHOP services, as needed. Health Coverage Guide duties, as appropriate: 1) Deliver general education about Connect for Health Colorado (C4HC); a) Meet with customers in person to explain Health Coverage Guide services, reasons to buy health insurance, and options for coverage; b) Assist customers with opening or accessing an account with C4HC; c) Explain affordability programs, Qualified Health Plans, Essential Health Benefits, and rights when using insurance; d) Assist customers with application for getting help with premium and cost-sharing discounts through C4HC; e) Assist customers with understanding web-based decision tools to help narrow the choices for qualified health plans; f) Ensure customers know about their health plan options through the C4HC Marketplace and help them filter and sort based on those options; g) Refer customers with appeals, grievances, and complaints to the appropriate agency; h) Make referrals as needed to the C4HC customer service center, certified brokers, or government and community resources as needed; i) Explain to customers when life changes can be reported and when renewal will be needed; j) Provide all services in a manner that is culturally and linguistically relevant to the customer; k) Maintain expertise about C4HC programs and maintain certification; and l) Accurately track and record activities for reporting to C4HC.

6 6 Other, including (but not limited to): a) Maintain timely, accurate and complete records of program activities and statistics; b) If bilingual, provide translation assistance for the program; c) Perform various projects as assigned; d) Work as a team member, participating in group meetings, retreats, and special events as necessary; and e) Other duties as assigned by the Program Team Leader and/or the Special Projects Director. The above job definition information has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Job duties and responsibilities are subject to change based on changing business needs and conditions.