Marketplace Enroller

Our client, a Health Insurance company, is looking for a Marketplace Enroller for their New Hartford, CT location. Responsibilities:

• This position educates and assists with the enrollment and recertification process for On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market; Qualified Health Plan (QHP).

• In addition, this role requires business development/outreach skills geared toward driving education and awareness targeting small businesses, community agencies, groups and events contributing to increased retention and growth in membership.

• Out reach All Levels Establishes trusted relationships, educates on product portfolio and marketing efforts and value add health plan provides within assigned territory:

• Community influencers, local agencies/community events, health fairs, grass roots community-based organizations and effort so Proactively reaches out to local businesses within assigned territory to educate and increase awareness of heath care offerings, state regulations and the Client/Univera brand- Participates in department business strategy sessions; provides input from customer’s point of view & competitive intelligence on the street Customer Assistor

• Collects/reviews family income and household information used to determine eligibility for above named product portfolio including Adjusted Premium Tax Credit (APTC) and Cost Sharing (CS) for individuals and families

• Assists individuals and families with securing and providing required documentation to demonstrate age, residency, and income as is required by the Marketplace

• Communicates health insurance program options, fundamentals of all the health insurance products, benefits, and associated costs based on analysis of the applicant’s situation

• Improves customer retention through on-boarding best practices defined as part of the assistor process.

• Acts as member advocate for the individual to the Marketplace.

• Applies the rules and regulations of the marketplace to the individual situation and provides open communication on application process between the parties

• Reads, interprets and applies the Marketplace Facilitated Enroller (MFE) Training Manual rules and regulations when dealing with current or potential members- Communicates application and eligibility requirements in more than one language

• Calculates and compares financial information as is required in the enrollment process.

• Included in this requirement is the ability to recognize tax return information and 3 months financial statements for self-employed- Interprets a variety of complex instructions from the MFE Training Manual to assist applicants

• Provides critical assessment and analysis which effects insurance enrollment for families and children- Presents all aspects of eligibility, enrollment and available products to community audiences

• Meets with applicants in locations that have additional MFE resource backup- Attends annual NYSDOH regional fall enrollment events; staying abreast of new information for upcoming annual enrollment

• Backs up team members as appropriate: vacations, last minute appointment schedule changes involving customers, outreach events, etc

Requirements:

• All Levels- High School Diploma plus 1-2 year experience preferably in MFE, customer service, or sales role. Associate’s Degree preferred

• New York State MFE training and certification is required within 3 months of hire

• Ability to work independently without close supervision; be detail oriented and have excellent organizational skills

• Thorough knowledge of Child Health Plus, Essential Plan, Medicaid/Medicaid Managed Care and the Individual Market (Qualified Health Plans) products

• Ability to evaluate member needs and research a situation to completion

• Ability to identify and manage enrollment barriers encountered by the applicant and works with the applicant and the marketplace to resolve enrollment issues

• Demonstrated ability to present to organizations within the community regarding rules and regulations of the health insurance mandate, the enrollment process and available products

• Must keep abreast of developments relevant to the function by attendance at meetings, seminars, workshops, etc., and as necessary, independent study- Knowledge of MS office, (Word, Excel, Access), Lotus Notes (calendar, email), Gold SNAP client relationship management (CRM) tool and other technical applications as appropriate- Must display excellent communication skills and have good member and public contact capabilities

• Ability to handle confidential information with discretion

• Ability to utilize “meeting” best practices while facilitating weekly staff meeting on a rolling schedule amongst entire team

• Ability to promote safety and good housekeeping for employees within the work area- Demonstrated understanding of math basic including: adding, subtracting, multiplying, dividing, rounding, and using all units of measure

• Demonstrates poise with non-verbal and verbal forms of communication with culturally diverse populations

• Demonstrate sensitivity when obtaining required personal and confidential information including social security number, income, household composition, and immigrant status

• Bi-Lingual communications preferred

• Physical Requirements:

• In support of the Americans with Disabilities Act, this resource requirements document lists only those responsibilities and qualifications deemed essential to the position

Why Should You Apply?

• Health Benefits

• Referral Program

• Excellent growth and advancement opportunities