MarketPlace RS

  • Bronx, New York

Employment Type

: Full-Time

Industry

: Miscellaneous



responsible for retaining existing Medicaid, Child Health Plus (CHP), Essential
Plan (EP) 1 & 2 and Qualified Health Plan (QHP) members. Incumbent must
demonstrate a proven ability to use and operate a laptop and other technical
devices; working knowledge of Microsoft Office environment.

Responsible for assisting current members who are due to recertify their
healthcare coverage for Medicaid, EP 1&2, QHP and CHP by completing member's
annual recertification application including any additional eligible family
members through the NYSOH marketplace or HRA/LDSS.
Assist members with selecting a Primary Care Physician (PCP) using the
Healthfirst provider directory via the provider search tool. This includes
verifying the correct PCP in OnContact and making any necessary changes based
on member s request.
Maintain adequate Book of Business (BOB) at all times, while adhering to the
BOB policies and procedures. BOB entries should be updated via Saleslogix (SLX)
and daily results via the PHSP Tracker tool.
Successfully meet pre and post training and regulatory exams and audit
requirements.
Conduct home visits and other appointments as needed to complete the
application and obtain all required documentation.
Review all applications prior to submitting to NYSOH marketplace. Complete a
Conflict of Interest (COI) form and Marketplace Facilitated Enroller Disclosure
& Applicant Authorization Form (PII) via Docusign for every enrollment
encounter. Raise any additional training needs to management.
Maintain an adequate supply of renewal materials required to complete the
recertification applications.
Maintain and carry Conflict of Interest (COI) forms at all times.
Successfully meet pre and post training and regulatory exams and audit
requirements.
Complete annual NYSOH marketplace recertification requirement and complete
Annual Corporate Compliance and Sexual Harassment Training requirements and any
required training from City Department of Health (CDOH) or Human Resources
Administration (HRA). Understand and implement the Plan s policies and
procedures for the facilitated enrollment and renewal process.
Notify manager and Sales Audit Department when closing a site in accordance to
the Sales Operation policy. Participate in weekly, bi-weekly and monthly staff
meetings and trainings including one-on-one meetings with management. Provide
information to management on opportunities at current or potential marketing
sites. Raise any issues / concerns to management relative to site coverage,
competition, training needs and process improvement.
Remain knowledgeable of competitor s products, marketing practices and keep
management informed of such products and practices.
Recommend process improvement and advise management of any proposed
recommendations that can make a workflow or process more efficient.
Additional duties as assigned.
Knowledge of Medicaid, Essential Plan, Child Health Plus, Qualified Health
Plan, Medicare or any other healthcare product line
Daily access to a vehicle with valid proof of insurance
Bilingual

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered
for positions and are evaluated without regard to mental or physical
disability, race, color, religion, gender, national origin, age, genetic
information, military or veteran status, sexual orientation, marital status or
any other protected Federal, State/Province or Local status unrelated to the
performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar
law, and want a reasonable accommodation to assist with your job search or
application for employment, please contact us by sending an email to
*********************** or calling ************ . In your email please include
a description of the accommodation you are requesting and a description of the
position for which you are applying. Only reasonable accommodation requests
related to applying for a position within Healthfirst Management Services will
be reviewed at the e-mail address and phone number supplied. Thank you for
considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement


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