Company Statement

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions.  WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.

 

To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
 

Facilitated Enrollment Rep

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Bargaining Unit
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EmblemHealth
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Description of Duties:
•    Present to, follow up and sell Individual Medicaid, Essential Plan, QHP and CHP products on a direct sales basis.  Assist and enroll individuals by completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets.    
•    Conduct home visits and other appointments as needed to complete the application and obtain all required documentation.
•    Develop and maintain appropriate understanding of the health care products related to sales responsibility.  Successfully complete periodic certification and testing to maintain knowledge level established by regulations.  
•    Maintain appointments, develop community marketing sites, establish relationship with community based organizations, Participate in health-related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees.
•    Stimulates word-of-mouth referrals from participants, prospects and their families.
•    Utilize automated tools to perform individual enrollment duties.   
•    Refer all existing members up for recertification to Retention Specialist when applicable.
•    Perform recertification activities when necessary.
•    Function as a liaison between all EmblemHealth departments to help identify and capture prospect’s problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth’s image as a High Quality and Affordable health plan in the community.
•    Assist members with selecting a Primary Care Physician (PCP) using the provider directory.
•    Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers.  
•    Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s). All activity entered into Salesforce tool.  
•    Performs other duties as assigned or required
•    Regular attendance is an essential function of the job.

 

Qualifications:  

  • High School Diploma required
  • 4 years of relevant work experience preferred
  • Driver’s License and automobile with appropriate coverage is required for territories – Long Island, etc.
  • Travel in the New York metropolitan area required
  • Must be able to work nights and weekends as required
  • Excellent interpersonal and presentation skills and the ability to work independently
  • Excellent organizational and communication skills, both verbal and written
  • Ability to develop strong relationships and influences in the community
  • Ability to input and update data in database system
  • Works independently and produces Self-Generated leads
  • Ability to multi-task
  • Successful completion of annual product training and testing to maintain regulatory certification

 

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