State Programs Member Engagement Specialist (Facilitated Enrollment)
Tasks
- Assist members with selecting PCP
- Complete and review enrollment applications
- Complete corporate compliance and sexual harassment training
- Complete marketplace recertification
- Conduct group educational seminars
- Conduct inbound and outbound enrollment by phone
- Educate members on digital tools
- Educate members on plan features and benefits
- Escalate issues and recommend process improvements
- Follow regulatory and corporate compliance guidelines
- Identify potential members
- Maintain member records in Salesforce Member 360 OnContact BizTalk
- Maintain partner relationships at enrollment sites
- Maintain product benefits and formulary knowledge
- Manage Medicaid Essential Plan Child Health Plus QHP enrollment
- Manage leads and book of business
- Monitor competitor products and practices
- Order member ID cards
- Participate in health fairs and special events
- Perform remote enrollment when required
- Prepare for regulatory and audit exams
- Process monthly premium payments
- Report site opportunities to management
- Use provider directory to verify information
Perks/Benefits
- N/A
Skills/Tech-stack
Child Health Plus | Child health | Compliance Management | Customer Service | Data verification | Digital tools | Digital tools education | Essential Plan | Marketplace enrollment | Medicaid | Medicare | Microsoft Excel | Microsoft PowerPoint | Microsoft Word | PCP selection | Provider directory | Qualified Health Plan | Recertification application | Salesforce | Telephonic customer service
Education
Associate Degree | Bachelor of Engineering | Bachelor of Science | GED | High School Diploma
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