Marketplace Enrollment Specialist

Emblem Health is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, Emblem Health partners with top hospitals and doctors, including its own Advantage Care Physicians, to deliver quality, affordable, convenient care.

At over a dozen Emblem Health Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit  .

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• Responsible for making outbound calls to previous/current QHP, EP, Medicaid & Child Health Plus membership due to special projects, and renewal on a telephonic approach.

• Receive inbound calls directly from members/prospects or transfers from member services.
• Educate and respond to inquiries from members about plan benefits, enrollment, and renewal options.
• Present to, follow up and sell Individual Medicaid, Essential Plan, QHP and CHP products on a direct sales basis.
• Assist and enroll individuals by completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets. Assist individuals by completing the appropriate forms and/or renewal applications for NYSOH or LDSS (via phone or direct basis).
• Function as a liaison between all Emblem Health departments to help identify and capture prospect’s issue resolution or concerns.
• Work with Neighborhood Care and HUB (member services) teams to maintain and improve Emblem Health’s image as a High Quality and Affordable health plan in the community.
• Maintain appointments, develop community marketing sites, establish relationships with community-based organizations, participate in health related activities/special events including in person evening and weekend activities, create self-generated leads, and provide services to onsite walk-ins. Obtain feedback from referral sources and prospective enrollees.
• Assist QHP, EP, Medicaid & Child Health Plus members with billing inquiries, enrollment inquiries and PCP assignments.
• Utilize automated tools such as Avaya, Facets, Salesforce, Sales Cloud, Service Cloud & ePACES to perform daily duties and conduct telephonic outreach when necessary.
• Develop and maintain appropriate understanding of the health care products related to job functions.
• Regular attendance is an essential function of the job.
• Performs other duties as assigned or required.

• High School Diploma

• 2 years of relevant work experience required
• Driver’s License and automobile with appropriate coverage is required for territories – Long Island, etc. (Optional)
• Travel in the New York metropolitan area required
• Must be able to work nights and weekends as required
• Excellent interpersonal and presentation skills and the ability to work independently
• Excellent organizational and communication skills, both verbal and written
• Ability to develop strong relationships and influences in the community
• Ability to input and update data in database system
• Works independently and produces Self-Generated leads
• Ability to multi-task
• Successful completion of annual product training and testing to maintain certification

• Requisition :
• Hiring Range: 50,000- 60,000

If you receive a job offer from Emblem Health, the email will be…