JOB DESCRIPTION Job Summary
Provides support for community-based member advocacy activities. Serves as a
local member advocate and resource, using knowledge of the community and
resources available to engage and assist vulnerable members in managing health
care needs. Contributes to overarching strategy to provide quality and
cost-effective member care.
Essential Job Duties
• Engages with members as an advocate and resource to support management of
health care needs.
• Collaborates with and supports the health care services team by providing
non-clinical paraprofessional duties in the field to include meeting with
members in their homes, nursing homes, shelters, provider offices, etc.
• Empowers members by helping them navigate and maximize their health plan
benefits. Assistance may include: scheduling appointments with providers,
arranging transportation for health care visits, getting prescriptions filled
and following-up with members on missed appointments.
• Assists members in accessing social services such as community-based resources
for housing, food, employment, etc.
• Provides outreach to locate and/or provide support for disconnected members
with special needs.
• Conducts research with available data to locate members that Molina has been
unable to contact (e.g., reviewing internal databases, contacting member
providers or caregivers or travel to last known address or community resource
locations such as homeless shelters, etc.)
• Participates in ongoing or project-based activities that may require extensive
member outreach (telephonic and/or face-to-face).
• Guides members to maintain Medicaid eligibility and with other financial
resources as appropriate.
• 50-80% local travel may be required (based upon state/contractual
requirements).
Required Qualifications
• At least 1 year of health care experience, preferably working with underserved
or special needs populations with varied health, economic and educational
circumstances, or equivalent combination of relevant education and experience.
• Community Health Worker (CHW) certification may be required for certain states
(dependent upon contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate
auto insurance for job related travel requirements, unless otherwise required by
law.
• Ability to multi-task applications while speaking with members.
• Excellent customer service skills.
• Organizational and time-management skills.
• Ability and willingness to learn other lines of business, programs and
relevant software systems/applications.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Community Health Worker (CHW) certification (for states other than Ohio, and
California, where it is required).
• Certified Medical Assistant (CMA).
• Bilingual based on community need.
• Familiarity with health care systems.
• Knowledge of community-specific culture.
• Experience with/or knowledge of health care systems, community resources,
social services, and/or health education.
To all current Molina employees: If you are interested in applying for this
position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina
Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V