About NYC Health + Hospitals MetroPlus Health 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, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics.
For more than 40 years, MetroPlus Health has been committed to building strong relationships with its members and providers. Purpose of Position: Under varying degrees of supervision, identifies qualified Medicare participants and educates them as to the benefits of selecting MetroPlus as a managed care provider. Achieves predetermined monthly enrollments based on regularly updated goals and objectives, documents consumer contracts, and processes grievances.
Moreover, maintains a positive public relations presence within the community, provider agencies, and with city and state regulatory agencies. Additionally, may provide training of and/or supervision to subordinate staff. There are three Assignment Levels within this class of positions; all personnel perform related work.
Work Shifts 9:00 A. M – 5:00 P. M Duties & Responsibilities Level I Under supervision, performs the following typical tasks: 1.
Implements methods, activities and action plans necessary to achieve daily, weekly and monthly objectives. 2. Presents clear and accurate information regarding health plan to eligible recipients and community-at-large. 3. Performs group and individual presentations for purpose of educating and enrolling qualified participants in a variety of arenas including but not limited to senior centers, provider sites, churches, assisted living facilities, nursing homes, etc. 4.
Provides all benefit/service related information to members, applicants, and providers. 5. Performs telemarketing activities as appropriate for purposes of enrollment and follow-up activity. 6. Processes all member demographic changes. 7.
Maintains accurate documentation related to enrollment and field activities. 8. Participates in regularly scheduled sales/marketing meetings as required. 9. Performs other related tasks as directed.
Level II Under supervision, with latitude for independent judgment and decision making, performs the work of Assignment Level I at a higher level, and/or the following typical tasks: 1. May act as preceptor to subordinate Enrollment Sales Representatives to facilitate their understanding of MetroPlus objectives, operations and site specific information. 2. Implements and monitors appropriate methods, activities and action plans necessary to regularly achieve accelerated predetermined enrollment objectives. 3.
Ensures appropriate and accurate documentation of call center plan enrollments and field activities. 4. Provides assistance and facilitates communications to sales/customer services management team. 5. Participates in bi-weekly and monthly sales/marketing meetings. 6.
Performs related duties as directed.
1. Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department; and 2. Possession of a High School diploma or evidence of having satisfactorily passed a High School Equivalency Program; and, 3.
Satisfactory completion of training and orientation administered by MHP personnel; and, 4. One year of experience in direct consumer contact, sales and/or social services; or, 5. A satisfactory equivalent combination of education, training, and experience.
However, all incumbents must possess the required licensure as described in one above. 6. Knowledge of a second language may be required. For appointment to Level II: 1.
One year of experience in Assignment Level I or one additional year of experience as described above. For appointment to Level III: 1. One year of experience in Assignment Level II or two additional years of experience as described above.
Special Notes: Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department must be maintained in order to remain in this position. Possession of a valid New York State Drivers License may be required. The use of this position is restricted to MetroPlus only.
Benefits NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.