State Programs Facilitated Enroller I

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. 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, Level I is responsible for assisting individuals with enrollment and renewal applications through the Health Benefits Exchange (NY State of Health/NYSOH) system. This includes reviewing taxes, payroll stubs, and other income documents and reviewing eligibility within Health Benefits Exchange (NYSOH)) and EMEDNY systems according to NYS Department of Health (NYSDOH) guidelines. The State Programs Facilitated Enroller, Level I 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 NYSOH inquiry process, answering questions regarding specific CDPHP plans offered through NYSOH, processing member recertification applications, adds, changes and terminations. The candidate will also handle renewals over the phone, and, as needed, customer service 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:

• High school diploma or GED required. Associates degree preferred.
• Marketplace Facilitated Enroller certification or Certified Application Counselor certification required, or must be obtained within 30 days of hire.
• Minimum of one (1) year employment experience in a health insurance setting required, with experience in Government Programs preferred.
• 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.
• Ability to speak Spanish or another language preferable.

As an Equal Opportunity / Affirmative Action Employer, CDPHP does not discriminate in employment practices on the basis of race, color, 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 Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.