Exchange Enrollment Facilitator

Community Health Alliance - Nevada; Reno (NV); On-site; USD 27,000 - 38,000; Full time

Benefits offered by this job

Competitive wage

Company-paid medical insurance

Vision and dental coverage

PTO 15 days/year

8 paid holidays

Pension plan (5% of earnings)

403(b) retirement annuity

$10,000 AD&D policy

Job summary

Community Health Alliance is seeking an Exchange Enrollment Facilitator (EEF) to support patients in accessing and understanding affordable health coverage. The role requires Certified Enrollment Counselor certification in Nevada and involves assisting with Medicaid applications, redeterminations, and related coverage requirements.

This grant-funded position supports Nevada Health Authority’s enrollment and outreach initiatives.

Qualifications

• Must maintain Certified Enrollment Counselor certification and Nevada Division of Insurance registration.
• Knowledge of federal, state, and local benefit programs including Medicaid and Marketplace.
• Familiarity with EMR systems and documentation of patient interactions.
• Strong bilingual communication skills (English/Spanish).
• Proficiency with Microsoft Office Suite and standard office equipment.
• Ability to protect confidentiality per HIPAA/CHA policies.
• Ability to travel between clinic sites and community events; valid driver’s license required.

Responsibilities

• Support patients in accessing and understanding health coverage options and enrollment processes.
• Assist eligible individuals with Medicaid applications and redeterminations.
• Provide education and outreach to help patients make informed coverage decisions.
• Document patient interactions in EMR and report outcomes.
• Travel between clinic sites and community events as needed.

Skills

Bilingual English/Spanish

EMR proficiency

Microsoft Office

HIPAA/ OSHA compliance

Customer service

Teamwork/collaboration

Cultural competency

Valid driver’s license

Education

High School Diploma or GED

Certified Enrollment Counselor certification

Tools

EMR systems

Job description

• Base Pay $23.68 / Hour
• Employee Type FT Non-Exempt
• Required Degree High school
• Travel 25%
• Manage Others No

Description

Position Summary: The Exchange Enrollment Facilitator (EEF) is an integral member of the Community Health Alliance (CHA) Population Health team, supporting patients in accessing, understanding, and maintaining affordable health coverage. The EEF serves as a knowledgeable resource for patients navigating healthcare coverage options and enrollment processes. This role requires certification as an Enrollment Counselor with the State of Nevada and is responsible for assisting eligible individuals with enrollment with Medicaid and other health coverage programs. The EEF provides direct support with Medicaid applications, redeterminations, and related coverage requirements to help reduce barriers to care and promote continuity of coverage. Through education, outreach and individualized assistance, the EEF helps patients make informed coverage decisions and strengthens access to timely, affordable healthcare services.

This is a grant-funded appointment supporting Nevada Health Authority’s Nevada Medicaid and Exchange enrollment and health coverage outreach initiatives. The initial term of the position is dependent upon grant funding and program requirements. Based on program success, ongoing organizational needs, and the availability of funding, the position may be extended beyond the initial grant period and may have the potential to transition into a permanent position. Continued employment beyond the grant period is not guaranteed.

Requirements

Knowledge, Skills and Abilities:

· Must maintain Certified Enrollment Counselor certification and Nevada Division of Insurance registration.

· Knowledge of federal, state, and local benefit programs, including Medicaid, Medicaid Check Up, Managed Care Organizations (MCOs) and Marketplace health insurance .

· Familiarity with EMR systems and proficiency in documenting and reporting patient interactions.

· Strong bilingual communication skills (English/Spanish) in both clinical and community settings.

· Proficiency with Microsoft Office Suite and operation of office equipment.

· Ability to maintain confidentiality in compliance with HIPAA, OSHA, and CHA policies.

· Ability to identify issues, solve problems, exercise sound judgment, and work effectively in teams.

· Demonstrated ability to provide exemplary internal and external customer service.

· Strong cultural competency and professional communication skills.

· Ability to travel between clinic sites and community events; must maintain valid driver’s license.

Education, Experience and Qualifications:

· High School Diploma or GED equivalent required.

· Must be able to read, write and speak English and Spanish fluently.

· Experience in health insurance access and eligibility preferred.

· Knowledge of community resources and processes preferred.

· Experience in customer service and EMR preferred.

· Must have or obtain a Certified Enrollment Counselor certificate within 4-months of hire.

Physical Requirements:

· Prolonged periods sitting at a desk and working on a computer.

· Ability to stand, walk, and participate in community events, including some outdoor activities.

· Ability to lift up to 25 pounds occasionally.

· Frequent speaking and hearing, including telephone communication and patient interviews.

· Reasonable accommodations will be made for individuals with disabilities.

· Work performed in the office/clinic.

· May be exposed to varying weather conditions if traveling between clinic s.

· Occasional travel between clinic sites.

Summary

At Community Health Alliance, we are committed to supporting our employees both personally and professionally by offering a comprehensive and competitive benefits package.

Our team members enjoy benefits that include:

• Competitive Wage: $23.68
• 100% company paid employee medical insurance and 90% paid vision and dental on the first of the month following 60 days from date of hire.
• Paid Time Off:
  • PTO 15 days/year and increased after one years of service: pro-rated based on FTE status
  • 8 paid holidays per year
• CHA paid pension plan at 5% of earnings after one year of service; no employee match
• Additional 403(b)retirement annuity plan for employee to save; no employer match
• CHA provides a $10,000 Accidental Death & Dismemberment policy for each benefit-eligible employee at no cost to the employee.

We are proud to invest in our employees by providing meaningful benefits, professional development opportunities, and a workplace dedicated to helping you build a rewarding career while making a difference in the communities we serve.