Healthfirst MarketPlace RS - Spanish, Arabic, OR English in Field Office, New York
The Retention Specialist is responsible for retaining existing Medicaid, Child Health Plus (CHP), Essential Plan (EP) 1 & 2 and Qualified Health Plan (QHP) members. Incumbent must demonstrate a proven ability to use and operate a laptop and other technical devices; working knowledge of Microsoft Office environment.
Identify and educate potential members on all aspects of the plan including answering questions regarding plan’s features and benefits. Responsible for identifying and assisting current members who are due to recertify their healthcare coverage for Medicaid, QHP, and CHP by completing member’s annual recertification application including adding on additional eligible family members
Refer all existing members up for recertification to on-site Retention Assist members with selecting a Primary Care Physician (PCP) using the Healthfirst provider directory on their BlackBerry device.Maintain adequate Book of Business (BOB) at all times, while adhering to the BOB policies and procedures.Complete enrollment activity through the NYSOH marketplace.
Meet new application goals and maintaining acceptable rejection levels while adhering to regulatory and state compliance. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s)
Conduct home visits and other appointments as needed to complete the application and obtain all required documentation
Review all applications prior to submitting to NYSPH marketplace. Distribute a Conflict of Interest (COI) form for every enrollment encounter. Raise any additional training needs to management
Maintain an adequate supply of renewal materials required to complete the recertification applications
Maintain and carry Facilitated Enroller Reference Binder (FERB) and Conflict of Interest (COI) forms at all times
Successfully meet pre and post training and regulatory exams and audit requirements.
Attend quarterly refresher training and successfully meet testing Complete Annual Corporate Compliance and Sexual Harassment Training requirements and any required training from City Department of Health (CDOH) or Human Resources Administration (HRA). Understand and implement the Plan’s policies and procedures for the facilitated enrollment and renewal process
Establish and maintain good working relationships with external business partners such as hospital and provider organizations, City agencies, small businesses and Community Based Organization personnel where enrollment activities are conducted. Develop and strengthen relations in order to generate new opportunities for Healthfirst including new sites and event requisitions
Participate in health-related activities / special events including evening and weekend activity. Events include health fairs, parades, holiday-themed events, trade show expos, hospital orientations, provider sponsored events and health-related theme events
Arrive at scheduled work site, team meetings, training sessions and events in accordance to departmental policy
Notify manager and Sales Audit Department when closing a site in accordance to the Sales Operation policy. Participate in weekly, bi-weekly and monthly staff meetings and trainings including one-on-one meetings with management and Field Trainers (FT). Provide information to management on opportunities at current or potential marketing sites. Raise any issues / concerns to management relative to site coverage, competition, training needs and process improvement
Remain knowledgeable of competitor’s products, marketing practices and keep management informed of such products and practices
Recommend process improvement and advise management of any proposed recommendations that can make a workflow or process more efficient
High School Diploma or GED from an accredited institution
Previous telemarketing, customer service, field sales, insurance or any other relevant sales experience
Ability to work in indoor and outdoor environments during all four seasons
Ability to work flexible hours including evening and weekends as needed
Must be willing to work in any of the (5) boroughs including Long Island and Westchester. In some cases you might need a car
Knowledge of Medicaid, Child Health Plus, Medicare or any other healthcare product line
Daily access to a vehicle with valid proof of insurance
Bilingual Spanish or Arabic
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
- Healthfirst Jobs