Enrollment Specialist Bilingual

Job Description

Job Title:

Enrollment Specialist Bilingual

Job Status:
Regular Full Time, Salaried

FLSA:
Exempt

Reports to:

Manager

The Health Enrollment Specialist supports the mission of Servicios de La Raza by helping individuals, youth, and families gain access to affordable health care coverage. This role exercises independent judgment in assessing clients’ healthcare benefit needs, providing enrollment guidance, and coordinating referrals to ensure equitable access to Medicaid/CHP+, marketplace subsidies, and other low-cost programs. The Health Enrollment Specialist also develops strategies for outreach and education, tracks enrollment outcomes, and maintains accurate documentation.

By bridging gaps in coverage and advocating for underserved communities, this position strengthens client health outcomes and contributes to the agency’s broader mission of equity and community well-being.

Assess the healthcare benefit program needs of individuals, youth, and families, applying professional judgment to determine eligibility and appropriate programs

Facilitate enrollment in public health care assistance programs including Medicaid/CHP+, marketplace subsidies, and other low-cost options

Provide in-person, virtual, and phone assistance regarding health insurance options, exercising discretion to tailor guidance to individual client circumstances

Plan and facilitate community education regarding health benefit options and the Affordable Care Act (ACA), adapting materials and approach to community needs

Facilitate linkage to care through appropriate internal and external referrals, including certified brokers and other community resources

Support clients in the referral process for appeals, grievances, or complaints regarding healthcare to appropriate external agencies

Develop follow-up plans to ensure complete enrollment, retention, and identification of gaps in healthcare coverage

Maintain knowledge of state coverage changes, policies, procedures, and resource availability, applying this knowledge to guide client decisions

Accurately track and record all health enrollment applications and outcomes, ensuring compliance with agency standards

Provide input and recommendations on programmatic improvements based on client and community data

All members of the SDLR workforce are expected to support the agency’s community outreach, civic engagement, and recruitment efforts

Support the agency’s fundraising objectives, which may include tasks such as active fundraising, grant development, solicitation of donations, agency ambassadorship, and informational outreach, and public speaking

Commitment to and experience with equity, cultural relevance, diversity, social justice, and disparity reduction practices with persons of color, agencies of color, and underserved communities

Ability to establish and maintain effective working relationships with clients, co-workers, agency partners, and the public

Other duties as assigned

High School Diploma or equivalent

Two years of experience in a community serving non-profit setting preferred

VALUES & CULTURE – Respects the agency’s values and is accountable to living the mission of Servicios de La Raza

DECISION MAKING
- Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences

BUILDING TRUST
- Interacts with others in a way that gives them confidence in one’s intentions and those of the organization

BUILDING…