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Facilitated Enroller

4 months ago

Spring Valley, United States Molina Healthcare Full time

Job Summary

KNOWLEDGE/SKILLS/ABILITIES

Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management.

Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area

Meet with consumers at various sites throughout the communities

Identify and educate potential members on all aspects of the plan including answering questions regarding plan's features and benefits and walking client through the required disclosures

Educate members on their options to make premium payments, including due dates

Assist clients with choosing a plan and primary care physician

Respond to inquiries from prospective members and members within the marketing guidelines

Must adhere to all NYSOH rules and regulations as applicable for MFE functions

Outreach Projects

Participate in events and community outreach projects to other agencies as assigned by Management for a minimum of 8 hours per week

Establish and maintain good working relationships with external business partners such as hospital and provider

organizations, city agencies and community-based organizations where enrollment activities are conducted

Develop and strengthen relations to generate new opportunities

Attend external meetings as required

Attend community health fairs and events as required

Occasional weekend or evening availability for special events.

JOB QUALIFICATIONS

Required Education

HS Diploma

Required Experience

Minimum one year of experience working with State and Federal Health Insurance programs and populations

Demonstrated organizational skills, time management skills and ability to work independently

Ability to meet deadlines

Excellent written and oral communication skills; strong presentation skills

Basic computer skills including Microsoft Word and Excel

Strong interpersonal skills

A positive attitude with ability to adapt to change

Must have reliable transportation and a valid NYS drivers' license with no restrictions

Knowledge of Managed Care insurance plans

Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities

Ability to work a flexible schedule, including nights and weekends

Required License, Certification, Association

Successful completion of the NYSOH required training, certification and recertification

Preferred Education

AA/AS - Associates degree

Preferred Experience

Previous experience as a Marketplace Facilitated Enroller - Bilingual - Spanish & English

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

**Pay Range**: $15 - $31.97 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.