Senior Facilitated Enroller Benefit Sales Specialist (...
Molina Healthcare - The Bronx, NY
Apply NowJob Description
JOB DESCRIPTION Job Summary Provides senior level 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 Assists with inbound/outbound calls as necessary to support facilitated enrollers with achievement of monthly, quarterly and annual member enrollment goals. u2022 Leads projects and provides support to facilitated enrollers to meet enrollment targets. u2022 Provides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support facilitated enrollers in enrollment goals/formulate resolutions for enrollers missing enrollment expectations; identifies challenges and communicates accordingly to leadership. u2022 Successfully maintains and/or manages monthly facilitated enrollment calendar. u2022 Demonstrates strong time-management skills including the ability to maintain multi-faceted projects - ensuring both quality and quantity deliverables, while completing job duties and adhering to various objectives with little to no supervision. u2022 Participates in the design and implementation of enrollment-related process improvements within the current facilitated enrollment policies, procedures, services and workflows to improve the customer experience and productivity. u2022 Maintains a high-level of professionalism in all internal/external communications. u2022 Maintains expert knowledge of current enrollment-related processes, rules and regulations of all applicable plans/programs, serves as a resource for implementation, and provides training to facilitated enroller team. u2022 Offers solutions to facilitated enrollment leadership regarding corrective action plans (CAPs), and conducts other quality activities to include policy and procedure and enrollment application reviews. u2022 Performs research assignments as directed by facilitated enrollment leadership which may include but are not limited to sourcing educational resources and best practices for the enrollment team. u2022 Monitors daily enrollment operations, identifies needs related to program tools/resources, and works with facilitated enrollment leadership to meet enrollment function needs and goals. u2022 Meets with prospective members at various sites throughout applicable communities - providing education and support to prospective members navigating complexities of the health care system - assisting with the application process, explaining requirements and ensuring documentation completion. u2022 Demonstrates comprehensive understanding of enrollment processes, best practices, and indications with minor errors. u2022 Maintains high-regard for member privacy in accordance with the Health Insurance Portability and Accountability Act (HIPAA), and internal policies and procedures. u2022 Local travel required. Required Qualifications u2022 At least 3 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 presentation skills. u2022 Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications u2022 Team lead experience. 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: $19.84 - $46.42 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Created: 2026-02-23