State Programs Member Engagement Specialist (Facilitated Enrollment)

Field - New York, United States

USD 51K-80K Entry-level Full Time

@ H...

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Found 22d ago

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

Skills/Tech-stack

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State Programs Member Engagement Specialist (Facilitated Enrollment)

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