Charlotte Center for Legal Advocacy - Health Benefits Resolution Specialist

Coordinator,

Health Benefits Resolution Specialist

Full-Time

Who We Are

Charlotte Center for Legal Advocacy, a non-profit provider of civil legal assistance to low-income persons in the Charlotte region, seeks a Health Benefits Resolution Specialist working under with the Advocacy Center's Family Support and Health Care Program. More information about the Advocacy Center can be found at our website: www.charlottelegaladvocacy.org.

Role

The Health Benefits Resolution Specialist Program assists North Carolina families by providing information on how to access and use Medicaid, educate families on their rights regarding Medicaid and other health-supporting benefits, and provide advocacy on these issues. This program helps individuals and families by providing answers to specific questions or concerns about their Medicaid and other health-supporting benefits. In addition to serving as a resource, the position advocates for people to get the care they need. The position works to connect Medicaid members to resources such as legal aid, social services, housing resources, food assistance and other programs. Lastly, the position monitors trends as to any issues that have been reported by members to help identify and resolve systemic problems.

The Health Benefits Resolution Specialist Coordinator is responsible for providing additional assistance in developing the new Health Benefits Resolution Specialist program, outreach efforts, work with and support the other Health Benefits Resolution Specialists at Charlotte Center for Legal Advocacy, Legal Aid of NC, and Pisgah Legal Services, lead efforts to expand reach of the program, engage with community partners and other stakeholders, assist to identify long-term funding for the program, and work with the legal team to identify systemic issues and develop solutions. The Health Benefits Resolution Specialist Coordinator will also handle their own caseload.

Responsibilities

• Assist with resolving disputes for Medicaid beneficiaries with various managed care entities and social service agencies
• Advocate for beneficiaries who are facing difficulty receiving care and finding answers to resolve healthcare access-related issues
• Educate families and community members about individual rights in the Medicaid program
• Investigate issues reported by applicants and members and help them resolve issues informally
• Remain up to date on policies and processes related to NC Medicaid and other related public benefits
• Provide referrals to appropriate agencies for applicants and members with grievances, complaints, questions, or need for other social services
• Document and enter data into a case management system to assist with identifying trends and systemic issues
• Conduct outreach and public engagement to educate members, providers, and other stakeholders
• Assist with development of case tracking and reporting methods for Health Benefits Resolution Specialists Program based on experience with NC Medicaid Ombudsman; and work with Program Director to ensure case management system meets the needs developed
• Regular collaboration with Health Benefits Resolution Specialist teams at Legal Aid of NC and Pisgah Legal Services
• Initiate and oversee program marketing, outreach, and case work; and regularly meet and engage with Program Director
• Coach and mentor Health Benefits Resolution Specialist staff on an ongoing basis
• Assist with ongoing compilation and organization of training materials
• Lead statewide outreach efforts for the Health Benefits Resolution Specialist Program
• Actively participate in statewide collaboration meetings on Medicaid Managed Care and the Health Benefits Resolution Specialist Program
• Provide all information and services in a manner that is culturally and linguistically appropriate and ensure accessibility for individuals with disabilities
  
  

Knowledge And Skill Requirements

• Two-year or four-year college degree or equivalent training or experience
• North Carolina Medicaid Ombudsman experience required
• Experience working with low-income communities preferably at a non-profit or community-based organization within a multi-ethnic/multi-cultural environment preferred
• Experience with public benefits eligibility and/or work experience as a health insurance service representative preferred
• Proficiency in MS Office, including Word, Excel, Power Point and Adobe PDF
• Ability to work independently and in a team environment
• Ability to effectively collaborate with co-workers and clients in virtual and in-person meetings
  
  

Other Requirements

• Be free from conflicts of interests, including payments and incentives from health insurance industry
• Possess socio-economic and cultural sensitivity and ability to communicate with persons in crisis or under stress
• Ability to multi-task and interact well with colleagues, clients, and others
• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift 15 pounds at times
• Must be able to access and navigate each department at the organization's facilities
  
  

Family Support And Healthcare Program Goals

• Provide access to quality health care for children and their parents in low and moderate-income families through Medicaid and ACA health insurance coverage.
• Improve health care and income support for veterans, individuals with disabilities, and seniors, with a focus on issues involving Social Security, SSI, Medicaid, Medicare, VA benefits, and on improving behavioral health services, care in nursing and rest homes, access to community-based care, services to the HIV-positive population, and managed
• Address the racial and ethnic biases of public agency policies and practices, including addressing language barriers and other barriers which disproportionately affect people of
• Assist low-income families and individuals in obtaining other public assistance and services they need, including SNAP, TANF, child support enforcement, childcare assistance, and other
  
  

Work Schedule

Charlotte Center for Legal Advocacy supports a hybrid work schedule with core work hours, Monday - Friday, 8:00 am - 5:00 pm.

Salary

This position is a full-time, salary, non-exempt position. The annual salary range begins at $46,204 and may vary depending upon experience and skills.

Reports To

The Public Benefits Resolution Specialist Coordinator will report directly to the Family Support & Health Care Program Director.

Benefits

The Charlotte Center for Legal Advocacy offers a generous leave and benefits package, including medical, dental, and vision coverage at 100% for employees, 22 paid days of General Leave, at least 12 paid holidays, and 100% employer- paid professional liability.

Reasonable Accommodation

Charlotte Center for Legal Advocacy is committed to the full inclusion of all qualified individuals. As part of this commitment, it is the policy of the Advocacy Center to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact careers@charlottelegaladvocacy.org.

Equal Opportunity Employer

Charlotte Center for Legal Advocacy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of reemployment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.