State Programs Facilitated Enroller

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

The State Programs Facilitated Enroller is responsible for assisting individuals with enrollment and renewal applications through the NY State of Health marketplace system. This includes reviewing taxes, payroll stubs, and other income documents and reviewing eligibility within the NY State of Health and EMEDNY systems according to NYS Department of Health (NYSDOH) guidelines. The State Programs Facilitated Enroller duties will also include conducting outreach and enrollment calls, working directly with customers over the phone to assist them with renewing their applications or completing new applications as permitted by the state, assisting with the NY State of Health inquiry process, answering questions regarding specific CDPHP plans offered through NY State of Health, processing member recertification applications, adds, changes and terminations. The candidate will also handle renewals over the phone, and as needed, community outreach events, or other questions related to enrollment. All Facilitated Enrollers must conduct themselves in accordance with regulations and instruction set forth by NYS and the Federal government and are expected to meet all defined CDPHP standards of outreach.

QUALIFICATIONS:

• Marketplace Facilitated Enroller certification or Certified Application Counselor certification required, or must be obtained within 30 days of hire.
• Minimum of 1 year employment experience in a health insurance setting required, with experience in Government Programs preferred.
• High school diploma or GED required.
• Demonstrated 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 pro-actively identify problems, as well as recommend and/or implement effective solutions.
• Demonstrated ability to work with and maintain confidential information.
• Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
• Excellent verbal and written communication skills.
• Flexibility to adapt to a changing and fast-paced environment.
• Strong system research and analysis skills; deductive and creative thinking.
• Strong attention to detail and capability to meet established productivity and quality standards.
• Demonstrated ability to effectively manage time with multiple task assignments.
• Access to reliable internet for work from home is required.
• Ability to speak Spanish or another language preferable.

CDPHP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. In addition to cash compensation, CDPHP employees may be eligible for an incentive payment, a discretionary cash reward based on employee and company performance. Some roles may also be eligible for overtime pay.

CDPHP compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work environment, and much more. Learn about all CDPHP employee benefits at https://www.cdphp.com/about-us/jobs/benefits.

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of 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, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.