Complete Care Specialist (Man/Can or Fujianese)

Healthfirst • New York, New York • 2d ago

Enrollment Process Ensure prospective members are enrolled properly and all internal and external processes are followed. Use successfully the electronic pen technology ensure that the applications are electronically submitted. Must ensure that extra documents relative to the applications are faxed and submitted to the Enrollment Department such as, termination letter from another Medicaid Advantage Plan, Durable Power of Attorney, etc. Must enter all information into electronic book of business and supplying supporting documentation to all new enrollees (copy of: application, Low|Income Subsidy ""LIS"" letter, a summary of benefit, and etc). Communication, Listening & Speaking Adjust communication style to suit the skill level of the audience such as, family members, care givers, social workers, colleagues and anyone that will need to participate on behalf of the member during the sales process. Identify the prospective member(s) comprehension of products and services being discussed through varied techniques. Performance Requirements Develop and nurture relationships with prospective members, community leaders, owner hospitals, community partners, and current business partners. Must generate referrals to the Medicare Advantage and Medicaid Advantage Plus (MAP) plans to ensure individual enrollment quotas are met based on tenure. Required to attend all Sales Meetings and gatherings. Must submit three reports daily: Plan of Action, Mid|day, and End|of|day. Understand the importance of interacting with others in professional situations, sharing useful knowledge, and developing long|term mutually beneficial relationships with others in the organization to maximize benefits to the organization. Participate and help organize formal and informal networking events, interact with professionals within and across organizations, exchange useful information with co|workers, and develop relationships with key internal stakeholders. Attend multiple networking events (e.g., seminars and conferences) while sharing useful information obtained with other organization members and colleagues collaborating to draw on an existing pool of network resources. Establish partnerships with peers to carry|out joint marketing efforts of shared sites. Stay well|informed on all recent changes in regulations, recent training sessions, changes in workflow, and changes to Healthfirst benefits. Required on a routine basis to achieve a passing score on post and on|going quizzes, attend refresher training, and participate in administrative audits. When summoned by the Special Investigation Unit (SIU) of Healthfirst you will be adequately prepared, forthcoming with information and cooperative in answering questions using your electronic Blackberry and/or soft copies if applicable. Minimize the amount of mistakes in the field and take ownership of miscalculations by learning from it. Follow Company, CMS and state guidelines relative to Complete Care including all enrollment procedures. Take personal responsibility to complete all online training in regards to HIPPA, Marketing and Compliance regulations. Technology Must be able to adapt to various software used by Healthfirst, maintain an electronic book of business, research participating providers, and communicate with internal departments via MS Outlook while safeguarding all Company issued equipment. Must keep an open line of communication with Healthfirst Site Development business unit. This will consist of informing of any organization that could be a suitable business partner for Healthfirst or any upcoming events you want to attend. Must work in a concerted manner with Network Development and communicate to them any providers that we should attempt to recruit. Ensure Network Development Representatives are abreast on any outstanding issues relative to any of our participating providers. Additionally, it requires staying abreast of the changes in the industry and passing a post/on|going training exam, as well as, ensuring your staff are informed of any changes/updates.

Fluency in bilingual Spanish. Medicaid, Medicare or Commercial Sales experience. Access to personal vehicle, valid Driver's License and proof of insurance

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Similar Jobs

Sr. Accountant

Robert Half • Great Neck, NY • 5h ago

Finance & Accounting

Description Looking for your next opportunity in accounting? Robert Half is currently seeking a Senior Accountant for a temp-to-hire role with one of our non-profit clients located in Great Neck, NY. This is a fantastic...

5h ago

Go to Apply

Accounting Clerk

Robert Half • New York, NY • 5h ago

Finance & Accounting

Description We are looking for a detail-oriented Accounting Clerk to join our team in New York, New York. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to utilize...

5h ago

Go to Apply

Accounting Clerk

Breaking Ground • New York, NY • 5h ago

Finance & Accounting

ABOUT US: - We believe that everyone deserves a home! Breaking Ground operates nearly 4,000 units of housing across New York City, along with housing in upstate New York and Connecticut. Supportive housing - affordable h...

5h ago

Go to Apply

Nursing Supervisor

City of New York • New York, NY • 5h ago

Hospital & Medical

Job Description THE SELECTED CANDIDATE WILL BE OFFERED A FLAT RATE SALARY OF $115,290.00. The Administration for Children's Services (ACS) protects and promotes the safety and well-being of children and families through...

5h ago

Go to Apply

Accounting Assistant

Kelly Services • Lyndhurst, NJ • 5h ago

Finance & Accounting

Join a Stable Company Where You Matter We're seeking a dependable and detail-oriented Accounting Assistant to join a clients' team in Lyndhurst. This is a direct hire opportunity with long-term potential, offering a mix...

5h ago

Go to Apply

Account Executive

BEACON HILL SOLUTIONS GROUP, LLC • New York, NY • 5h ago

Sales & Marketing

ACCOUNT EXECUTIVE FINDING PEOPLE FOR JOBS, AND JOBS FOR PEOPLE.As an Account Executive, you will identify and develop relationships with businesses and organizations that would benefit from and utilize our temporary staf...

5h ago

Go to Apply

Software Engineer

Ironclad • New York, NY • 10h ago

IT & Engineering

Ironclad, Inc. seeks Software Engineer in New York, NY:Job Duties: Work with and learn from a strong team of engineers and work cross-functionally to identify business problems and architect, build, and verify solutions....

10h ago

Go to Apply

Software Engineer

VideoAmp • New York, NY • 10h ago

IT & Engineering

VideoAmp, Inc. seeks a Software Engineer in New York, NY.Duties: Responsible for the definition, design, development and successful and timely completion of major new features in current and future products. Build applic...

10h ago

Go to Apply

Software Engineer

Amazon • Newark, NJ • 10h ago

IT & Engineering

Description At Audible, we believe stories have the power to transform lives. It's why we work with some of the world's leading creators to produce and share audio storytelling with our millions of global listeners. We a...

10h ago

Go to Apply

Lead Software Engineer

JPMorgan Chase • Jersey City, NJ • 10h ago

IT & Engineering

We have an opportunity to impact your career and provide an adventure where you can push the limits of what's possible. As a Lead Software Engineer at JPMorgan Chase within Data Technology, you are an integral part of an...

10h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.