Marketplace Navigator Benefits Expert

Job Description 

Title:  Marketplace Navigator Benefits Expert

Location: Remote (with a little travel)

Employment Type: Full Time 

Reports To: Director of Expert Services 

Position Overview:
We are seeking a qualified and experienced Healthcare.gov Navigator to assist individuals and families in navigating the Health Insurance Marketplace. The successful candidate will provide education and enrollment assistance to help consumers understand their healthcare options, answer questions, and support the enrollment process. This role requires a deep understanding of the Healthcare.gov system, compassion for underserved populations, and a commitment to improving health outcomes.

Key Responsibilities: 

• Educate individuals and families on Healthcare.gov coverage options, including the benefits and limitations of various plans.
• Assist clients in navigating the Healthcare.gov platform, explaining the application process and eligibility criteria.
• Help clients apply for subsidies and other financial assistance programs to lower their insurance costs.
• Conduct outreach activities to increase awareness of Healthcare.gov and encourage enrollment, especially among underserved communities.
• Maintain accurate records of all client interactions and ensure compliance with all privacy and data security protocols.
• Stay up-to-date with Healthcare.gov policies, changes to enrollment periods, and program updates.
• Participate in community events and information sessions to educate the public on Healthcare.gov and health insurance options.
• Collaborate with healthcare providers, social services agencies, and other community partners to facilitate enrollment.

Required Qualifications:

• Minimum of 10 years of direct experience as a Healthcare.gov Navigator or similar role, with a thorough understanding of the Affordable Care Act (ACA) and the Health Insurance Marketplace.
• Minimum of 3 years of customer service, healthcare navigation, benefits administration, or case management experience. 
• Certification as a Healthcare.gov Navigator (if required by state/federal regulations).
• Strong knowledge of the enrollment process, subsidy calculations, and healthcare options available on Healthcare.gov.
• Strong analytical and documentation skills and be detail oriented. 
• Strong writing, communication, and stakeholder engagement skills. 
• Experience working in a fast-paced, service-oriented environment.
• Prolonged sitting and computer work. 
• Must be able to handle confidential sensitive medical information. 
• Proficiency with Customer Relationship Management systems (i.e. Salesforce and Tableau), workforce management tools, Google Workplace, Slack and minimal usage of Microsoft Office Suite.

Preferred Qualifications:

• Experience providing benefits counseling, healthcare, eligibility analysis, advocacy or case management. 
• Experience working with vulnerable populations or individuals navigating serious health or financial challenges. 
• Experience coordinating employer-sponsored benefits with federal and state programs. 
• Bilingual (English/Spanish) skills are helpful. 
• Preferred candidates will have great customer service skills and the ability to provide 5 star service. 

What we Offer:

• Flexible remote work environment 
• Paid Time Off (PTO) plus all federal holidays off 
• Comprehensive benefits package with health, dental, vision insurance group term life, short term disability, long term disability and voluntary life plans. Numerous supplemental plans to assist employees. 
• Paid maternity, paternity and adoption leave benefits. 
• Cancer Experts Now - supplemental plan 
• 401(k) retirement plan with matching contributions.
• Supportive and collaborative work environment.
• Opportunity to be part of a rapidly growing company dedicated to making a difference in the lives of families.

Travel:

• Up to 10% travel per year for client meetings and company engagements, both local and occasional out-of-town. 

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veterans status, or any other characteristic protected by law.

A consumer report and/or investigative consumer report may be obtained for employment purposes in connection with your application for employment.