Community Outreach Specialist-PCHP

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day.

Primary Purpose

Responsible for expanding Parkland Community Health Plan's presence in the service area with goals to establish partnerships with community-based organizations and increase member engagement, retention, and overall market share for all lines of business (including Medicaid (STAR), Children's Health Insurance Program (CHIP), Healthy Texas Women (HTW), and other programs).

Minimum Specifications

Education

* High school diploma/GED required.

Experience

* Two (2) years of managed care or Medicaid program experience required.

* Bilingual in English and Spanish preferred.

Certification/Registration/Licensure

* Community Health Worker certification (CHW) issued by Texas Department of State Health Services preferred.

* Must have a Texas Class C Driver License and be insurable. Must have access to an automobile.

Required Tests for Placement

* Successfully completes Marketing Training provided by the Community Outreach Supervisor within 30 days of employment.

Skills or Special Abilities

* Knowledge of managed care/Medicaid program processes.

* Proficient presentation skills to individuals and groups.

* Excellent customer service focused.

* 75-100% travel/driving within the service areas.

* Ability to frequently work weekends and evenings to meet business needs.

* Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines. Ability to communicate complex information in understandable terms.

* Strong interpersonal skills with the ability to establish and maintain effective working relationships across and beyond the organization.

* Excellent analytical and problem-solving skills.

* Strong time management skills with the ability to handle multiple demands and respond to rapidly changing priorities.

* Ability to write clearly and succinctly as well as a high level of attention to detail.

* Proficient computer and Microsoft Office skills.

* Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.

Responsibilities

Community Outreach:

* Collaborates and participates with community agencies, faith-based organizations, and school district events/activities within the Dallas Service Area communities to market Parkland Community Health Plan (PCHP).

* Develops and maintains positive working relationships with Parkland employees, outside companies, state agencies, insurance carriers, brokers, third party administrators, other managed care organizations, and community representatives in order to build connections to maintain membership and/or growth in PCHP's products.

* Assists in engaging key external stakeholders in collaborating with PCHP to achieve shared health improvement goals and objectives, reduce health disparities, and improve health equity.

Committee Involvement:

* Participates in coalition meetings and advisory groups.

* Facilitates Member Advisory Committee quarterly meetings, providing updates on Parkland Community Health Plan activities and initiatives to gauge members awareness and feedback for program monitoring and updating.

* In conjunction with Member Advisory Committee members, will plan and implement community and service area health education programs.

Strategy:

* Assists Community Outreach Manager in developing annual strategies/expectations for Community Outreach team with regard to member health and wellness.

* Provides feedback and outcomes from previous events/activities to help create strategic plan.

Regulatory and Documentation:

* Works in conjunction with internal personnel and external entities, such as HHS and the Texas Department of Insurance to assure compliance with legal, regulatory and contractual requirements.

* Maintains documents and reports on PCHP outreach activities; compiles and prepares outcomes for the annual report for submission to HHS.

Professional Accountability:

* Promotes and supports a culturally welcoming and inclusive work environment.

* Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.

* Adheres to organizational policies, procedures, and guidelines.

* Completes assigned training, self-appraisal, and annual health requirements timely.

* Adheres to hybrid work schedule requirements.

* Attends required meetings and town halls.

* Recognizes and communicates ethical and legal concerns through the established channels of communication.

* Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.

* Maintains confidentiality at all times.

* Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.