Facilitated Enrollment Representative

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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 and/or 4 years of relevant work experience

  • 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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EmblemHealth

New York, New York

📁 Bargaining Unit