Jobs · Human Resources · New York

Field Health Benefit Rep

Fidelis Care - New York · Brooklyn, NY · 4 wk ago
Human ResourcesFull-time
We need to output only HTML fragment, using

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where posting has real specific content. No filler like "commensurate with experience". Must preserve all substantive info. Remove boilerplate: EEO, legal, etc. Also remove duplicated lines, navigation, cookie, etc. Also remove application instructions (none present). Must not repeat job title as heading. Must not put Job ID etc. We need to parse the posting. Position Purpose: description of role. Could be "About the role". We'll put that under

About the role

with

. Key Details: includes work authorization, location, language preference. Could be part of Requirements or Qualifications? Might be "Requirements". We'll decide. Then list of duties: many bullet-like sentences. We'll put under Responsibilities. Education/Experience: Must have HS diploma, 2+ years experience, basic computer skills, prior public speaking experience, driver's license preferred/mandatory, certifications: must complete NY State of Health approved training program and become certified, must complete annual recertification courses. That's qualifications. Then "At Centene, we connect people..." that's about benefits and culture. Benefits: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, flexible approach to work with remote, hybrid, field or office work schedules. Also mention actual pay adjusted based on skills etc. That's Benefits and Pay maybe. Pay: "competitive pay" but not specific numbers. The rule: do NOT create Pay/Schedule/Benefits sections unless posting actually states them. It does state benefits and mentions competitive pay, flexible schedule. So we can include Benefits and maybe Pay? Pay: they say "competitive pay" but not specific. Is that considered filler? It says "competitive pay" which is vague but still states pay. The rule: never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD"). "competitive pay" is somewhat vague but not exactly placeholder like "commensurate with experience". Might be acceptable. However they also say "Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status." That's still vague. Might be considered filler? The instruction: never emit a heading followed by filler/placeholder text. If we include Pay section with just "competitive pay" and description, is that filler? It's not a specific number, but it's still stating that pay is competitive and based on factors. Might be okay. But we could combine Pay into Benefits section? The rules: we have separate headings for Benefits, Pay, Schedule. We could include Benefits and maybe Schedule (they mention flexible approach to work with remote, hybrid, field or office work schedules, also required to work evenings and weekends). Schedule: they mention required to work evenings and weekends, and flexible approach. So we can include Schedule. Thus we will have sections: About the role, Responsibilities, Requirements (maybe Qualifications?), Skills, Benefits, Pay, Schedule. Need to decide which headings to use. The list includes: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should use only those that have real content. We can combine Requirements and Qualifications maybe but better to separate if content fits. Let's map: - About the role: Position Purpose paragraph. - Responsibilities: list of duties (educate and assist, explain eligibility, teach digital tools, describe plan features, explain metal tiers, assist with documents, support renewals, help with premium payments, provide culturally appropriate assistance, conduct public education, participate in forums, maintain tracking tool, monitor dashboard, daily review, keep abreast of Marketplace functionalities, follow-up leads, record dispositions, data enter applicant info, comply with conflict-of-interest, work evenings/weekends, safeguard PHI, provide culturally appropriate info, participate in trainings, meet MFE recertification, keep abreast of industry updates, maintain discretion, perform other tasks as required, performs other duties as assigned). That's many. - Requirements: maybe work authorization, location, language fluency, driver's license, etc. Also must be authorized to work in US without sponsorship, 100% field based in Brooklyn, fluency in second language strongly preferred. Also must complete training and certification. But those could be Qualifications. - Qualifications: Education/Experience: HS diploma/GED, 2+ years prior experience in managed care, sales, customer service or related, basic computer skills, prior public speaking experience, driver's license preferred for NYC counties, mandatory for non-NYC counties, must complete NY State of Health approved training program and become certified, must complete annual recertification courses. - Skills: maybe computer skills, public speaking, language fluency, etc. Could be separate but we already have some in Qualifications. Could combine. Given the instruction to prefer a few substantive sections over many thin ones, we might combine Requirements and Qualifications into one section called "Requirements" or "Qualifications". But the allowed headings list includes both; we can choose to use only those with substantive content. Let's decide to use: About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. That's six sections. Omit Requirements and Skills to avoid thin. Now we need to ensure we don't include filler like "competitive pay" if considered placeholder. But we have actual mention of benefits and schedule. For Pay, we could omit if we think it's too vague. However the instruction: "never create Pay/Schedule/Benefits sections unless the posting actually states them." It does state competitive pay and flexible approach to work schedule. So we can include Pay and Benefits and Schedule. Pay: "competitive pay" plus description of adjustment based on skills etc. That's still stating something about pay, albeit not a number. I'd keep it. Now we need to strip boilerplate: EEO statement, equal opportunity, LA County Ordinance, etc. Also remove "At Centene, we connect people..." that's not boilerplate but describes culture and benefits; we keep benefits part. The EEO part we remove. Also remove duplicated lines: there are duplicates like "Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)" appears twice? Actually appears in Position Purpose and then again in responsibilities list. We'll keep only one instance in responsibilities; but we need to preserve all substantive info, not duplicate. We'll deduplicate. Also remove "Perform all other tasks and responsibilities as required to satisfy the expectations of the role" and "Performs other duties as assigned" duplicates; keep one. Now craft HTML. We'll start with

About the role

...

Then

Responsibilities

  • ... each duty as li. We need to break down responsibilities into sensible items. List of duties from posting: - Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP) - Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers - Teach members about Fidelis digital tools (member portal, mobile app) - Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers - Explain metal tiers within the Marketplace and how benefits vary by income level - Assist consumers with submitting required documents via scan, fax, or mail - Support existing members with renewals and recertifications - Help consumers with premium payment submissions when required - Provide culturally and linguistically appropriate assistance - Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options - Participate in ACA forums, workshops, and community events as requested - Maintain a daily tracking tool that entails detailed rep activity - Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants - Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance - Keep abreast of all the Marketplace functionalities to effectively manage individual accounts - Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM" - Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter - Must be in compliance with all conflict-of-interest standards and regulations - Required to work evenings and weekends - Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards - Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace (duplicate of earlier) - Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities - Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements - Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace - Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations - Perform all other tasks and responsibilities as required to satisfy the expectations of the role - Performs other duties as assigned We need to deduplicate: "Provide culturally and linguistically appropriate assistance" appears twice; keep one. Also "Perform all other tasks..." and "Performs other duties as assigned" similar; keep one. Now Responsibilities ul. Next

    Qualifications

      maybe list education/experience, certifications, etc. Qualifications content: - Must have a High School Diploma or GED. - 2+ years of prior experience in managed care, sales, customer service or related experience preferred. - Must have basic computer skills. - Must have prior Public Speaking experience. - Driver's License: Preferred for NYC counties, Mandatory for non-NYC counties. - Must complete and pass the NY State of Health approved training program and become certified. - Must complete all required annual recertification courses/learnings. Also from Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. 100% field based position working within Brooklyn, New York. Fluency in a second language strongly preferred. These could be part of Qualifications as well (work authorization, location, language). We'll include them. Thus Qualifications ul items: - Must be authorized to work in the U.S. without employment-based visa sponsorship (no sponsorship available for H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, CPT). - 100% field-based position located in Brooklyn, New York. - Fluency in a second language strongly preferred. - High School Diploma or GED. - 2+ years of prior experience in managed care, sales, customer service, or related field (preferred). - Basic computer skills. - Prior public speaking experience. - Driver's license preferred for NYC counties, mandatory for non-NYC counties. - Must complete and pass the NY State of Health approved training program and become certified. - Must complete all required annual recertification courses. Now Benefits: list from "At Centene, we

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