Health Plan Specialist I (Broker Coordinator)

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

JOB SUMMARY:

The Health Plan Specialist- Broker Coordinator is responsible for administrative processes associated with licensing, approval, re-applications, and re-certifications of Community Health Choice Agents/Broker partners. This position will participate in onboarding new Agents/Broker partners, including tracking and overseeing contracting and training. The Broker Coordinator will ensure that no lapses in licensing occur and that Agents/Brokers meet all company, compliance, and licensing requirements. They will manage multiple inboxes and serve as the liaison between Agent/Broker sales force and operations up to and including troubleshooting. The Broker Coordinator will provide company communications to Agents/Brokers and management in addition to preparing various weekly and monthly performance reports, presentations and materials. This position will assist at Agent/Broker and Community events as needed (including some weekends & evenings). The individual in this position should have a proven ability to work independently, take initiative and bring projects through to completion. In addition, this individual must have the ability to manage competing priorities and re-prioritize work as needed and have the ability to maintain focus in a dynamic environment. As part of the Business Development team, the Broker Coordinator will maintain and prow the Agent/Broker partnership to assist the sales team in achieving departmental goals and provide excellent customer service while complying with all appropriate regulatory guidelines.
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MINIMUM QUALIFICATIONS:

• Education/Specialized Training/Licensure: High School Diploma, Life and Health license within 90 days of hire date
• Work Experience (Years and Area): One plus (1+) year experience in Health insurance, Healthcare, Medicare or other regulated industry to include customer service experience.
• Equipment Operated: Excellent computer skills required, including Word, Excel and PowerPoint in a Microsoft Windows environment. Must be able to utilize laptop, wireless internet equipment, phone system and portable printer. Salesforce experience a plus.

SPECIAL REQUIREMENTS:

• Communication Skills:
• Above Average Verbal (Heavy Public Contact)
• Bilingual Skills Required? No Languages: Spanish preferred.
• Writing /Composing No (Correspondence/Reports )

Other Skills:

• P.C.
• MS Word
• MS Excel

Work Schedule:
Weekends (as needed)
Overtime 1 (as needed)
Other Requirements: Must be familiar with health insurance programs and their components, including STAR Medicaid/CHIP programs and Health Insurance Marketplace. Must have reliable, insured transportation.

RESPONSIBLE TO:
Designated Supervisor
Manager
Director

EMPLOYEES SUPERVISED:
None

Benefits and EEOC

Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.

It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

Job Category

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