Health Plan Field Promoter

U NITE HERE HEALTH serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!This is a Culinary Health Fund roleThe Sr Health Plan Promoter is the face of the Fund, especially to participants, and to provide benefits, claims, eligibility, enrollment planning and support, and health care education and information to this multi-cultural community. This position will also be responsible for maintaining various spreadsheets, assisting with member inquiries, data entry and coordinating with Fund vendors on special projects.The ideal candidate will be based in Las Vegas. This is a field-based role requiring approximately 75%–100% travel within the assigned region. We are open to hiring candidates located in Sacramento, Biloxi, Atlantic City, and New York.Essential FunctionsEngages, educates, and motivates participants regarding participation in Fund programs/care coordination designed to improve health outcomesRecruits’ participants into Fund self-management programs; follows up with participants to ensure maximum participation; and establishes regular meetings for program graduatesCoordinates with contracted Case Management partners, providers, vendors, and community resources to ensure access to quality care and appropriate services are availableCollaborate with providers of care to retrieve medical records, such as inpatient clinical, emergency room records, discharge instructions and outpatient office visits along with member/member representative interviews to assist clinical care management partners to develop a comprehensive plan of care.Meets with participants at their worksite, home, union office, and places where they receive medical servicesReviews data to determine priority targets for program outreachArranges, coordinates, and facilitates group programs, participant leader meetings and other health education eventsRecruit and develop participant leaders to expand the reach of these programsPlans calendar and priorities of health promotion work, in conjunction with SupervisorDocuments outreach and engagement outcomes with members/member representatives, providers of care, community representatives and care management partners in documentation system (SalesForce/CarMa) as applicableProvides input to management regarding concerns identified through interactions with participantsActs as the positive “face” of the Fund as the main point of contact for the Hospitality participants, unions, employers, providers, and vendorsProvides benefit plan and eligibility information to participants, providers, unions, employers, and others for Hospitality plansPerforms telephonic or onsite enrollment functions and in-person outreach as needed, including hosting, and attending enrollment eventsProvides proactive education to participants by phone, in person at the office, and at the worksite, including presentations and work with the union and employers to build a relationship and support these initiatives.Receives and records telephone and walk-in inquiries regarding plan benefitsConduct root cause analysis on walk-in inquiries and provide management with recommendations on how to improve the member experienceProvides input to management regarding concerns identified through interactions with participantsMaintains up-to-date knowledge of all systems and sources relating to plan benefits, processes, policies, etc. that will affect the performance of daily tasksSupport the tracking and reporting of all inquiries, complaints, access issues, and requests received, including trending, root cause analysis, process improvements, and pending items to leadership regularlyUtilizes internal system to record all activity, including updates and resolution details for all inquiries, complaints, and requests.Participates in TPA Customer Service oversight meetings and analytics review.Seeking management assistance on issues unable to resolve in a timely mannerMaintains awareness of work volumes and service levelsAssists in special projects as requested by managementAssists in participant outreach and navigating them to take steps to get involved in programs to improve their healthAssigned, works outside traditional office hours and traditional office locations to reach participantsUtilizes effective listening skills to recognize and communicate issues to management, including trends and anomaliesPerforms research on benefit issues and initiates corrective action if neededHandles escalated participant and provider complaintsMaintains confidentiality when handling materials and member informationMakes improvement recommendations to benefit materials, forms, and processesPerforms special projects as requested by Fund ManagementDrives on Fund Business and/or authorized to drive a Fund-owned or leased vehicleSet goals and achieve measurable resultsEssential QualificationsAssociate’s degree or equivalent work experience required2 ~ 3 years of related experience at minimumWorking knowledge and experience in healthcare, service sector labor unions, healthcare community organizing, healthcare customer service and/or health outreach and educationStrongly Preferred fluency (speak and write) in Cantonese or Spanish or other language common to our participants in the region (French, Haitian Creole, Cape Verdian Creole)Valid driver’s license, car, auto insurance, and ability to use public transportationThe ability to travel up to 75% -100% of the time (mostly local field work)Salary range for this position: Salary: $70,500 - $88,200. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) as a field heavy, hybrid position. Daily onsite visits to union halls and employer sites in assigned regions. Required: 1 week a month onsite at SLS in Las VegasWe reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Life, Pension, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).