Job Description
Job Summary
The Senior Facilitated Enroller will use a high degree of customer service to successfully work with the team to provide optimal enrollment success. The Senior Facilitated Enroller (SFE) will assist the Facilitated Enrollment Supervisor in meeting and exceeding sites expectations and providing exceptional levels of customer service. The SFE will continue to assist eligible recipients for enrollment by phone or conduct face to face meetings. Assist the Facilitated Enrollment Supervisor in training, assisting with client meetings (webinars and leading meetings) and will be more involved with the Marketing Tracker and Salesforce. The SFE will also work closely with the Facilitated Enroller and will report to the Facilitated Enrollment Supervisor the successes or areas that require improvement and will provide input on strategy as the business needs change within given territory.
Knowledge/Skills/Abilities
Assists with inbound/outbound calls when necessary to assist FE with achieving monthly, quarterly and annual enrollment goals.
The SFE will assist in leading FE and/or projects to help ensure monthly enrollment results.
SFE will provide support across projects, including quality checks to Marketing Tracker and Sales Force. Works with Facilitated Enrollment Supervisor to successfully support FEs in enrollment success and to formulate resolutions for struggling FEs. Identifies any challenges and communicates to Facilitated Enrollment Supervisor.
Successfully maintains and/or manages monthly FE calendar
Excellent time management with the ability to maintain multi-faceted projects, providing both quality and quantity while completing job duties and adhering to various objectives with little to no supervision.
Maintains a high level of professionalism to all outgoing emails to clients
Shows a comprehensive understanding of processes, best practices, and indications with minor errors
Monitors daily operations and identifies need for program tools and works with Facilitated Enroller Supervisor to meet staff needs.
Participates in the design and implementation of process improvements within the current facilitated enrollment policies, procedures, services and workflow to improve the customer experience as well as productivity
Maintains expert knowledge of current processes, rules and regulations of the MMC, EP, CHP and QHP programs and serves as a resource for implementation, training teams
Offers suggestions to Facilitated Enrollment Supervisor regarding corrective action plans and conducts other quality activities to include policy and procedure review and application reviews
Performs research assignments as directed by Facilitated Enrollment Supervisor which may include but are not limited to educational resources and best practices.
Meets with consumers at various sites throughout the communities
Provide education and support to individuals who are navigating a complex system by assisting consumers with application process, explaining requirements and necessary documentation
Consistently demonstrates high standards of integrity by supporting Molina Healthcare of NY, Inc mission and values and adhering to the Corporate Code of Conduct
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures
Performs other functions as assigned by management.
Job Qualifications
Required Education:
High School Diploma or equivalence
Required Experience:
Minimum of 3 years of experience working with State and Federal Health Insurance programs and populations
Demonstrated organizational skills, time management skills and ability to work independently
Previous experience leading projects, processes, or teams
Excellent written and oral communication skills; strong presentation skills
Basic computer skills including Microsoft Word, Excel, Salesforce and Share Point
Strong interpersonal, organizational skills and the ability to work in a team environment.
A positive attitude with the ability to be flexible and adapt to change
Knowledge of Managed Care insurance plans
Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities
Required Licensure or Certification:
Must have reliable transportation and a valid NYS drivers' license with no restrictions
Successful completion of the NYSOH required training, certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $17.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
