Benefit Guidance & Outreach Navigator

GEHA; Lee's Summit (MO); Hybrid; USD 50,000 - 71,000; Full time

Job summary

An established industry player is seeking a Benefit Guidance and Outreach Navigator to enhance membership growth by educating prospective members on health plan offerings. This role involves conducting outreach and providing support through various channels, ensuring consumers understand their benefits. The ideal candidate will possess strong communication skills and a background in customer service or healthcare. This opportunity offers a chance to make a meaningful impact in the lives of federal employees and retirees while enjoying a flexible work environment. Join a team that values diversity and fosters an inclusive atmosphere where your contributions will be recognized and appreciated.

Benefits

Health/Vision/Dental Benefits

401(k) Retirement Plan with Company Match

Paid Time Off

Tuition Assistance Program

Employee Well-being Program

Company-provided Life Insurance

Short-Term & Long-Term Disability Benefits

Qualifications

• 2+ years in customer service, education, or outreach in healthcare.
• Associate's degree preferred; experience may substitute education.

Responsibilities

• Educate prospective members about health plan offerings.
• Conduct outreach and support via virtual and direct channels.
• Document consultations and uphold compliance standards.

Skills

Customer Service

Public Speaking

Communication Skills

Time Management

Bilingual in Spanish

Education

Associate's Degree in Healthcare or Related Field

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

GEHA has one mission: To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization.

Position Overview

As a Benefit Guidance and Outreach Navigator, you will be essential in growing G.E.H.A membership by educating our prospective members about G.E.H.A Health plan offerings and guiding them through health plan selection. This position is also responsible for conducting outreach to our consumers, members, and prospective members about available benefits, ensuring they understand and how to navigate their policies.

Duties and Responsibilities

• Drives membership growth by providing consultation and navigation about G.E.H.A medical and dental plans to newly hired or newly eligible postal and federal employees and retirees.
• Supports consumers via a mix of virtual and direct to consumer channels, like video conferencing, phone, chat, email, and attend/host in-person events.
• Conducts virtual presentations, new employee orientations and conferences throughout the year to groups of federal employees on G.E.H.A medical and dental plans. Topics may include new hire benefits and retiree benefits related to Medicare.
• Fields inbound calls from ABOs regarding requests for materials and/or events.
• Via outbound calling, pursues and engages with qualified leads/prospective members and ABO’s for Open Season support.
• Provides support, conducting outreach educating our members and prospects about available benefits, ensuring they understand and how to navigate their policies.
• Supports various projects, events, and outreach activities, including community events, workshops, and other prospect and member engagement opportunities.
• Captures and documents all consultation details in systems in compliance with training, quality metrics and conflict of interest standards.
• Upholds G.E.H.A Core Values; embraces, promotes, and engages in other membership growth, retention related duties as assigned.

Knowledge, Skills, and Abilities

• Associate's degree in healthcare, business, nonprofit, or related fields; additional years of relevant work experience may be considered in lieu of formal education.
• Minimum of 2 years of relevant experience (e.g., customer service, education, public speaking, managing details, outreach, health care, social work) in health insurance or similar healthcare setting.
• Working knowledge of Microsoft Office programs, including Word, Excel, and PowerPoint, with the ability to perform tasks ranging from basic to moderately complex.
• Outstanding verbal and written communication skills required.
• Must be able to work remotely and independently, as well as the ability to collaborate with members of a team.
• Must be dependable and adaptive to change and meet deadlines.
• Requires strong diligence and effective time management skills.

Preferences

• Bilingual in Spanish.
• Flexibility to work weekends and/or evening hours (especially during open enrollment from November 1st – December 15th).

Work-at-home Requirements

• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
• Latency (ping) response time lower than 80 ms.
• Hotspots, satellite and wireless internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

How We Value You

• Competitive pay/salary ranges.
• Incentive plan.
• Health/Vision/Dental benefits effective day one.
• 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution.
• Robust employee well-being program.
• Paid Time Off.
• Personal Community Enrichment Time.
• Company-provided Basic Life and AD&D.
• Company-provided Short-Term & Long-Term Disability.
• Tuition Assistance Program.

Please note that the salary information is a general guideline only. GEHA considers factors such as (but not limited to) scope and responsibilities of the position, candidate’s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The annual base salary range for this position is $50,298 - $70,902 USD.

GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. GEHA will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation, deepens connections and strengthens our organization.

GEHA is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.