CDPHP Commercial Sales Facilitated Enroller in Albany, New York
CDPHP is a healthcare leader in the Capital Region, with participating providers in 24 counties in upstate New York. As a company, CDPHP emphasizes the member experience as well as employee engagement. With over 1,000 employees at our corporate headquarters in Albany, we are still managed by a board of physicians, and maintain a strong emphasis on patient care. We value integrity, diversity, and innovation, and a corporate culture that supports those values. At CDPHP, employees have the opportunity to make an impact both at the company and community levels. We strive to provide knowledge and display excellent in all that we do, and are looking for motivated individuals who want to be a part of that experience.
The Commercial Sales Facilitated Enroller has the primary responsibility to assist individuals/families in enrolling in CDPHP Commercial Plans. These plans include, but may not limited to, our Essential Plan, New York State of Health On Exchange plans and Off Exchange plans. Secondary responsibility is to assist individuals/families enrolling in non-Commercial plans which include, but may not be limited to, Medicaid plans and Medicare plans. This includes reviewing taxes, payroll stubs, and other income documents and reviewing eligibility within Health Benefits Exchange (NY State of Health) and EMEDNY systems according to NYS Department of Health (NYSDOH) guidelines and/or commercial underwriting guidelines as needed. The Commercial Sales Facilitated Enroller duties will also include conducting outreach and enrollment calls, working directly with customers to assist them with completing their applications, assisting with the NYSOH process. The Commercial Sales Facilitated Enroller will also handle renewals over the phone, and, as needed, customer service events, or additional questions. All Commercial Sales Facilitated Enrollers must conduct themselves in accordance with regulations and instruction set forth by CDPHP, NYS and the Federal government. They must also obtain certification as Marketplace Facilitated Enrollers in the NYSOH application process and maintain this certification.
High school diploma or GED required. Associates degree preferred.
NYS Life, Accident and Health license required or obtained within 60 days of employment
Marketplace Facilitated Enroller certification and Certified Application Counselor certification required or obtained within 30 days of employment.
Minimum of 3 year employment experience in a health insurance setting required
1 year experience in benefits, sales or Government Programs required.
Ability to interpret and make decisions based on corporate underwriting guidelines, as well as State of New York & Federal statutes relating to healthcare administration.
Demonstrated ability to identify, analyze and solve problems.
Demonstrated ability to effectively communicate with external and internal contacts both verbally and via written correspondence.
Strong system research and analysis skills; deductive and creative thinking.
Strong attention to detail and capability to meet established productivity and quality standards.
Ability to effectively manage time with multiple task assignments.
Bilingual (Spanish and English) preferred.
Must have access to reliable transportation. If driving a vehicle for CDPHP business, employee must have valid driver’s license, current inspection and appropriate insurance coverage in effect at all times.
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.