Health Benefit Rep

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use

• for any list of duties/requirements/benefits, and

  for prose. Do NOT repeat job title as heading. Do NOT put Job ID etc. Preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Include a section only when posting has real specific content for it. Avoid filler like "commensurate with experience". Pay and Schedule sections only if posting actually states them. Benefits section only if posting actually states them. The posting includes Pay Range: $23.23 - $39.61 per hour. Also mentions benefits: "Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules." So Benefits section can be included. Schedule: "Work Schedule: Mon. - Fri. with occasional evenings and weekends" and also "Required to work evenings and weekends." So schedule content exists. We need sections: About the role (maybe from Position Purpose). Responsibilities (list of duties). Requirements (maybe Education/Experience). Qualifications (maybe certifications). Skills (Preferred Experience And Skills). Benefits (list). Pay (Pay Range). Schedule (Work Schedule). Ensure we don't create sections with filler. We must not repeat job title. Use

  for each section heading. We need to preserve all substantive information. Let's extract. Position Purpose paragraph: "The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement." Then "Key Details: Community field based travel position covering Monroe County, NY." Then repeated bullet list of duties. We need to combine responsibilities into a list. Let's list responsibilities: - 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. - 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. - Complies with all policies and standards. We can condense duplicates: "Provide information in a manner that is culturally and linguistically appropriate" appears twice; we can keep one. Now Requirements/Education/Experience: - 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 - Driver's License: Mandatory for non-NYC counties - Certifications: Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings. Qualifications maybe same as Requirements? But we can separate: Qualifications could be certifications etc. However we need to avoid thin sections. Perhaps combine Requirements and Qualifications? But the instruction says use headings for those categories if they have content. We have content for Requirements (education/experience) and Qualifications (certifications). Skills: Preferred Experience And Skills list. Let's extract Skills: Preferred Experience And Skills: - Bilingual – English/Spanish Highly Preferred - Customer Service - Healthcare - Enrollment Counselor/Health Navigator - Community Outreach - Sales (Front Facing or Field Sales) - Public Speaking - Prospecting, tabling, events - Comfortable with field-based travel requirements supporting Monroe County, NY - MS Office Suite - Salesforce Now Benefits: "Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules." Also maybe mention "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. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility." That's more about pay and benefits. We'll include benefits list. Pay: "Pay Range: $23.23 - $39.61 per hour" Schedule: "Work Schedule: Mon. - Fri. with occasional evenings and weekends" plus "Required to work evenings and weekends." Now we need to output HTML fragment only, no /. Use

  headings,

  • for lists,

    for prose. We need to avoid repeating job title. Not include any boilerplate like EEO etc. Remove duplicated lines. Let's craft sections:

    About the role

    The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement. This is a community field‑based travel position covering Monroe County, NY.

    Responsibilities

    • 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 potential leads for consumers seeking assistance.
    • Keep abreast of all 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.
    • Ensure compliance with all conflict‑of‑interest standards and regulations.
    • Required to work evenings and weekends.
    • Secure and safeguard confidential information to prevent Protected Health Information (PHI) from being accessed by unauthorized personnel, ensuring compliance with privacy and security standards.
    • Participate in all trainings, updates, webinars and other forums 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 pertaining to the ACA and Marketplace.
    • Maintain discretion regarding business‑related files, reports, and conversations in accordance with applicable State and Federal statutes and regulations.
    • Perform all other tasks and responsibilities as required to satisfy the expectations of the role.
    • Comply with all policies and standards.

    Requirements

    • High School Diploma or GED.
    • 2+ years of prior experience in managed care, sales, customer service or related experience (preferred).
    • Basic computer skills.
    • Valid driver’s license (mandatory for non‑NYC counties).

    Qualifications

    • Completion and passing of the NY State of Health approved training program to become certified.
    • Completion of all required annual recertification courses/learnings.

    Skills

    • Bilingual – English/Spanish (highly preferred).
    • Customer service experience.