Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Facilitated Enrollment Representative

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Sales Union
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190OT Requisition #
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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 6 years of relevant work experience
  • A proven track record of success at achieving and surpassing sales goals for Medicaid, Essential Plan, QHP or CHP products
  • Minimum of 4+ years of experience in Medicaid, Essential Plan, QHP or CHP sales and or Marketplace facilitated enrollment
  • Driver’s License and automobile with appropriate coverage is required
  • 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
  • Bilingual- verbal required, and written preferred
  • Works independently and produces Self-Generated leads
  • Ability to multi-task
  • Successful completion of annual product training and testing to maintain regulatory certification

An Equal Employment Opportunity Employer M/F/H/V.

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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