State Programs Member Engagement Specialist (Facilitated Enrollment)
Tasks
- Assist members with choosing primary care physician
- Build relationships with external business partners
- Complete NYSOH marketplace recertification
- Complete corporate compliance training and sexual harassment training
- Complete training and regulatory exams
- Conduct group seminars and presentations
- Educate members about digital tools
- Educate members about plan features and benefits
- Escalate issues and recommend process improvements
- Follow regulatory and corporate guidelines
- Follow sales auditing protocols
- Identify potential members
- Maintain book of business for leads and encounters
- Maintain knowledge of plan benefits and formulary
- Maintain marketing materials supply
- Manage inbound outbound enrollment calls
- Monitor competitor products and marketing practices
- Order member ID cards
- Participate in health events and special events
- Process enrollment by phone or in person
- Provide management with site opportunities
- Review enrollment applications
- Verify and update member information in member systems
Perks/Benefits
- N/A
Skills/Tech-stack
Child Health Plus | Child health | Digital tools | Essential Plan | Health insurance | Health insurance enrollment | Healthfirst Provider Directory | Insurance Enrollment | Medicaid | Medicare | Member ID Card Ordering | Microsoft Excel | Microsoft PowerPoint | Microsoft Word | Mobile Applications | NYSOH Marketplace | NowPow | Primary Care Physician | Primary care | Provider directory | Qualified Health Plan | Recertification Applications | Salesforce | Telephony | Twilio
Education
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