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AFMC Resource Specialist in Little Rock, Arkansas

This job was posted by https://www.arjoblink.arkansas.gov : For more information, please see: https://www.arjoblink.arkansas.gov/jobs/4240881

SCOPE OF POSITION:\ Responsible for assisting individuals as they look for health coverage options through the marketplace. Educate individuals about the Marketplace and refer consumers to health insurance ombudsman and consumer assistance programs when necessary. Provide communication, education and promotion of behavioral and mental health program services including substance abuse and mental health resources to consumers. Collaborate with professional staff to meet contract deliverables ensuring timely provision of services and appropriate follow up. Document services rendered and provide reporting as required. Support the organizations mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence, Accountability, Respect and Teamwork.

\ ESSENTIAL JOB FUNCTIONS:\ 1. Maintain expertise in eligibility, enrollment and program specifications for qualified health plans (QHPs) and insurance affordability programs, and conduct public education activities to raise awareness about the Marketplace.\ 2. Must inform consumer about the full range of QHP options and insurance affordability programs for which they may be eligible, which includes: providing consumer with fair, accurate, and impartial information that assists them with submitting a Marketplace eligibility application; clarifying the distinctions among health coverage options, including QHPs; and helping them make informed decisions during the health coverage selection process.\ 3. Coordinate communication between various components of the AR Medicaid program.\ 4. Maintain comprehensive knowledge of specialty area, pertinent organizations and health care environment. Knowledge should include information regarding: contract, contract deliverables, policies and procedures, resources available, current research and reports, trends, etc.\ 5. Responsible for the resolution of customer/client requests including research, referral, policy review, revision and development, documentation and follow up in accordance with established policy/procedures.\ 6. Communicate effectively with customers and/or recipients. Develop and maintain working relationships as necessary to meet contract deliverables of specialty area project.\ 7. Act as a resource to internal and external customers for information pertaining to specialty area focus.\ 8. Understand and utilize project-tracking database to document and monitor services/activities provided and to compile a comprehensive database of activity. Maintain accurate statistical data to meet contractual and other reporting requirements.\ 9. Coordinate the timely collection and data entry of all required documentation.\ 10. Work with Information Technology department to coordinate system developments and customizations.\ 11. Assist in the creation and maintenance of necessary reports/documents to track and report project information. Prepare ad hoc reports and/or statistics as directed.\ 12. Monitor specific items within the area of focus, provide recommendations/feedback to external customers for quality improvement and follow through for compliance of recommendations for improvement.\ 13. Assist in the development, production, maintenance and delivery of educational materials/activities.\ 14. Adhere to format, content and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality.\ 15. Communicate needs and requests to other team members as appropriate.\ 16. Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.\ 17. Additional duties as assigned.

Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):\ Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to commun cate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.

EDUCATION:\ Required: High School Diploma\

\ EXPERIENCE:\ Required: Two (2) years experience within the healthcare arena and customer relations.\ Preferred: Thorough understanding of Behavioral and Mental Health.

INTERNET REQUIREMENTS:\ Reliable, high-speed wireless internet service (Wi-Fi)\ An upload speed of at least 2Mbps is required to support softphone functionality.

\ KNOWLEDGE, SKILLS AND ABILITIES:\ Must possess intermediate level computer skills (Excel, Word, Power Point and Outlook)\ Type 50 wpm\ Exceptional skills in business English and spelling\ Ability to maintain confidentiality\ Strong oral and written communication skills\ Creativity\ Customer se

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