Facilitated Enroller (In Field - Spring Valley, NY)

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts. Essential Job Duties u2022 Meets monthly, quarterly, and annual member enrollment goals and growth targets. u2022 Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans. u2022 Meets with potential members at various sites within applicable communities. u2022 Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation. u2022 Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures. u2022 Educates members on options to make premium payments, including due dates. u2022 Assists members with plan and primary care physician selection. u2022 Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements. u2022 Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members u2022 Responds to inquiries from prospective members according to marketing guidelines. u2022 Adheres to health plan rules and regulations as applicable for member enrollment. u2022 Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week. u2022 Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted. u2022 Develops and strengthens relationships in order to generate new opportunities. u2022 Attends community health fairs, events and external meetings as required. u2022 Attends occasional weekend or evening special events as needed. u2022 Local travel required. Required Qualifications u2022 At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience. u2022 Completion of the New York State of Health Assistors (NYSOH) required training, certification and recertification required for the state of New York. u2022 Must have reliable transportation and a valid driver's license with no restrictions. u2022 Interpersonal/customer service skills. u2022 Data processing and proofing experience. u2022 Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines. u2022 Positive attitude, and ability to adapt to change. u2022 Knowledge of managed care insurance plans. u2022 Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities. u2022 Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). u2022 Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. u2022 Effective verbal and written communication skills, including strong presentation skills. u2022 Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications u2022 Previous experience enrolling members into managed care programs/health insurance. u2022 Bilingual u2013 Spanish and English. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $18.04 - $42.2 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2026-02-02