Sales Representative I
Company: MetroPlus Health Plan
Location: New York
Posted on: April 19, 2024
Job Description:
Sales Representative I
Job Ref: 105672
Category: Sales
Department: SALES ADMINISTRATION
Location: 50 Water Street, 7th Floor,
New York,
NY 10004
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $50,000.00
Salary Range: $50,000.00 - $50,000.00
Empower. Unite. Care.MetroPlusHealth is committed to empowering New
Yorkers by uniting communities through care. We believe that Health
care is a right, not a privilege. If you have compassion and a
collaborative spirit, work with us. You can come to work being
proud of what you do every day.About NYC Health +
HospitalsMetroPlusHealth provides the highest quality healthcare
services to residents of Bronx, Brooklyn, Manhattan, Queens and
Staten Island through a comprehensive list of products, including,
but not limited to, New York State Medicaid Managed Care, Medicare,
Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,
Essential Plan, etc. As a wholly-owned subsidiary of NYC Health +
Hospitals, the largest public health system in the United States,
MetroPlusHealth's network includes over 27,000 primary care
providers, specialists and participating clinics. For more than 30
years, MetroPlusHealth has been committed to building strong
relationships with its members and providers to enable New Yorkers
to live their healthiest life.At NYC Health + Hospitals, our
mission is to deliver high quality care health services, without
exception. Every employee takes a person-centered approach that
exemplifies the ICARE values (Integrity, Compassion,
Accountability, Respect, and Excellence) through empathic
communication and partnerships between all persons.Job
DescriptionEducational/Enrollment Process
Educate and provide assistance to
qualified individuals with applying for coverage through the NY
State of Health Marketplace in a Qualified Health Plan (QHP) and
insurance affordability programs such as Medicaid and Child Health
Plus.Assist consumers/applicants with calling the NY State of
Health Customer Services Department for assistance with enrolling
and/or providing verification documentation.Conduct public
education activities for consumers to raise awareness of available
QHPs within the Marketplace.Explain potential eligibility for
public/governmental programs, how the federal health insurance
premium tax credit and cost-sharing reductions work, and outline
potential risk factor, if any, to consumers.Describe the features
and benefits of health insurance coverage, including cost-sharing
mechanisms like deductibles, co-pays, co-insurance and how these
work and/or affect the consumer.Describe the different metal tiers
within the Marketplace and how the benefits may change at different
tiers based on the consumer's income.Conduct presentations and
participate in ACA forums and workshops upon request.Assist
consumers with submitting documents and information as required by
the Marketplace via scan, fax or mail.Assist existing members with
recertification, when applicable.Assist consumers with the
submission of premium payments when required.Regulatory/Compliance
Securing and safeguarding
confidential information to prevent Protected Health Information
(PHI) from being obtained from unauthorized personnel to ensure
compliance with privacy and security standards.Provide information
in a manner that is culturally and linguistically appropriate to
the needs of the population being served by the
Marketplace.Participate in all trainings, updates and webinars and
other forums in which information is necessary to carry out roles
and responsibilities.Mandated to meet the annual MFE
recertification requirements.Keep abreast of all industry and
regulatory updates as it pertains to the ACA and
Marketplace.Maintain discretion regarding business-related files,
reports and conversations within the provisions of applicable State
and Federal Statutes and regulations.Tactical
Maintain a daily tracking tool that
entails detailed rep activity.Monitor all applications in personal
dashboard to ensure timely and accurate follow through from
applicants.Conduct a daily review of personal dashboard to address
and follow-up on any and/or all potential leads for consumers
seeking assistance.Maintain a consistent supply of various
educational and product line collateral.Keep abreast of all the
Marketplace functionalities to effectively manage individual
accounts.Conduct a daily review of the MetroPlusHealth "Marketplus"
lead management program to follow-up on all new potential
enrollment leads and consumer inquiries. Record all follow-up
dispositions in a timely and accurate manner.Data enter all
applicant demographic, enrollment site and PCP selection data in
the required "Enrollment Program" within the MetroPlusHealth portal
at the time of the initial enrollment encounter.All other tasks and
responsibilities as may be required to satisfy the expectations of
the role.Minimum Qualifications
Must have a High School Diploma or
GED.Minimum of one (1) year of Sales/Customer Relations experience
required.Must be in compliance with all conflict-of-interest
standards and regulations.Required to work evenings and
weekends.Licensure and/or Certification Required
Must complete and pass the NY State
of Health approved training program and become certified. Must
complete all required annual recertification as a MFEProfessional
Competencies
Integrity and TrustCustomer
FocusFunctional/Technical skillsWritten/Oral Communication
Keywords: MetroPlus Health Plan, Bayonne , Sales Representative I, Sales , New York, New Jersey
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