Community- Facilitated Enrollment Representative

Sales Representative

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. Make sure that enrollments are effectuated and completed when it comes back from the 834 State file.

Principal Accountabilities

• 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 Salesforce tool.
• Regular attendance is an essential function of the job.

Qualifications

Education, Training, Licenses, Certifications

• 2 years of college or relevant work experience.
• A proven track record of success at achieving and surpassing sales goals for Medicaid, Essential Plan, QHP or CHP products.

Relevant Work Experience, Knowledge, Skills, and Abilities

• Minimum of 4+ years of experience in Medicaid, Essential Plan, QHP or CHP sales and or Marketplace facilitated.
• NYS Health Insurance license required within 60 days of employment.
• 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 skills and the ability to work independently.
• 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.
• Successful completion of annual product training and testing to maintain regulatory certification.