Outreach and Enrollment Analyst

Greater Lawrence Family Health Center•Methuen, MA

62d

About The Position

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking an Outreach and Enrollment (O&E) Analyst. Under the direction of the O&E Leadership, the O&E Analyst will perform patient engagement efforts and data analytics for patients of Greater Lawrence Family Health Center (GLFHC) who are assigned to the C3 Accountable Care Organization (ACO). The O&E Analyst will oversee and ensure the outreach and enrollment process for new and existing members in need of MassHealth renewal applications. The O&E Analyst will outreach to members that are identified by MassHealth whose coverage will be terminated with C3 and MassHealth for failure to resolve the MassHealth Request for Information, ensuring appointments are scheduled for individuals to complete the needed steps. This position is responsible to conduct outreach and education with community partners and at community events to ensure health insurance coverage for members. Nights and weekend may be required.

Requirements

Bilingual/bicultural (English/Spanish).
Proficient verbal and written skills in both English and Spanish.
Experience working with health insurance options.
Experience building relationships with community agencies.
Experience in planning and implementing projects and coordination of functions and setting goals and meeting timelines promptly.
Knowledge of community resources.
Certified Application Counselor (CAC) certified or willing to become CAC certified within 2 months of hire.
Must be able and willing to travel as needed, have dependable transportation, a valid driver's license, and proof of automobile insurance.

Nice To Haves

Associates degree preferred in a human services field or equivalent experience.

Responsibilities

Outreach to uninsured patients and patients who are due for MassHealth renewals and redetermination.
Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation and troubleshooting the enrollment and renewal process) for GLFHC patients and C3 members.
Attend community events in order to facilitate education and enrollment of C3 members.
Follows up with patients as necessary to determine insurance coverage status. Continues to assist patients as necessary.
Provide structured and accurate patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals.
Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars, and other professional development opportunities to remain current with regulatory requirements.
Follows-up with patients and C3 members to determine insurance status after enrollment assistance, and tracks and documents success rates.