DEPARTMENT DESCRIPTION

To help UC affiliates understand and obtain the full benefits and services available from their UC-sponsored medical, dental, and vision plans.

JOB SUMMARY

The Health Care Facilitator will develop and administer a specialized health care-related service program for faculty, staff, annuitants, survivors, and their covered dependents for both Campus and Health. The incumbent will educate clients about the design of their university-sponsored health care plans, including strategies on utilization of plans; assist and counsel clients unable to access satisfactory levels of service when normal channels of assistance are unsuccessful; and will intervene on behalf of the client in resolution of the situation. The position serves in a critical and highly specialized role as a subject matter expert in health plans and Medicare matters. The incumbent provides feedback to systemwide colleagues regarding barriers to delivery of quality health care services and makes recommendations in consideration of future health plan contract negotiations. Conducts training sessions; develops educational web content, maintains a confidential record of issues and resolutions, and participates in the development of systemwide solutions. The incumbent is expected to exercise independent judgement and initiative, with minimal supervision required. The Lead Facilitator is primarily responsible for the direction and public face of the HCF Program, while assigning tasks to and providing training to other Facilitators.

POSITION INFORMATION

PHYSICAL DEMANDS

• Confidentiality - Frequently, Training – Occasionally
• Driving - Occasionally, Sitting – Frequently
• Close Visual Acuity (e.g., viewing a computer screen; using measurement devices) – Frequently
• Lift and maneuver items weighing up to 25 lbs.
• Requires working at a desk for extended periods of time (6-8 hrs. Per day) viewing a computer monitor
• Computer and Peripheral Equipment - Frequently, Telephone - Frequently, Vehicles – Occasionally
• Laptop computer, wireless headset, printer and peripheral equipment

WORK ENVIRONMENT

• Travel between Davis and Sacramento campuses as needed by work assignments.
• Work occasional overtime to meet business needs.
• The Smoke and Tobacco Free Environment policy is intended to provide a healthier, safer, and more productive work and learning environment for the entire UC community. The University of California prohibits smoking and tobacco use at all University owned or leased properties, or facilities operated by UC staff or faculty. Smoking and tobacco use are strictly prohibited in indoor and outdoor spaces, parking lots, residential space, and University vehicles. https://ucdavispolicy.ellucid.com/documents/view/271

QUALIFICATIONS

Required:

Minimum Education/Experience

• 5 years’ experience working with health insurance plans in a troubleshooting and/or customer service capacity

Minimum Knowledge, Skills, and Abilities (KSA)

• Advanced analytical and problem-resolution skills to conduct root cause analysis and develop creative, effective recommendations and solutions
• Excellent communication skills; ability to present complex information in a clear and concise manner; experience developing and conducting presentations
• Demonstrated ability to work successfully with a highly diverse population at all levels of the organization
• Knowledge of state and federal laws, regulations, and programs related to health insurance, including but not limited to HIPAA, PPACA, and Medicare
• Working knowledge of Microsoft Office applications; ability to collect, analyze, and report on data
• Self-motivated with excellent organizational and time management skills; ability to handle multiple projects simultaneously, within specific deadlines and competing priorities

Preferred:

Preferred Education/Experience

• Bachelor’s degree
• Experience working for a health insurance company
• Experience with UC benefits
• Dispute resolution/mediation experience

• Bilingual speaking English and Spanish

SPECIAL REQUIREMENTS

Background Check

This position is a critical position and subject to a background check. Employment is contingent upon successful completion of background investigation including criminal history and identity checks.

The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we’re solving life’s most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don’t just maintain - we improve.

We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here.

As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected.

The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.