Sales Representative II - Boroughs

Job Information

• Job : TE0019
• Category: Sales
• Department: FACILITATED ENROLLMENT
• Location: 50 Water Street, 7th Floor, New York, NY 10004
• Job Type: Regular
• Employment Type: Full-Time
• Salary Range: $60,000.00 - $60,000.00

Metro Plus Health  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.

• Educational/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 Marketplace Facilitated Enroller (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 Metro Plus Health  Market plus 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 Metro Plus Health  portal at the time of the initial enrollment encounter.
  • Must be in compliance with all conflict‑of‑interest standards and regulations.
  • All other tasks and responsibilities as may be required to satisfy the expectations of the role.
  • Required to work evenings and weekends.

• Must have a High School Diploma or GED.
• Minimum of three (3) years of Sales experience required.
• Prior Public Speaking experience.

• Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification as an MFE.

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication