Health Benefit Rep

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Remove boilerplate like EEO, etc. Must preserve all substantive info. We need to parse the posting. Key sections: - Position Purpose: description of role. Could be "About the role". Use

About the role

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with purpose. - Key Details: includes community field based travel covering Bronx County, etc. Also tasks: assist members signing up via NYSOH, enter data into Salesforce, educate about eligibility, teach digital tools, describe plan features, explain metal tiers, assist with documents, support renewals, help with premium payment, culturally appropriate assistance, conduct public education, participate in ACA forums, maintain daily tracking tool, monitor dashboard, conduct daily review, keep abreast of Marketplace functionalities, follow-up on leads, record dispositions, data enter applicant data, compliance with conflict-of-interest, required to work evenings and weekends, secure PHI, provide info culturally appropriate, participate in trainings, mandated to meet MFE recertification, keep abreast of industry updates, maintain discretion, perform other tasks, comply with policies. These are responsibilities. Could be under Responsibilities. - Additional Experience/Skills: Bilingual English/Arabic highly preferred, bilingual English/Urdu, Hindi, Spanish, Customer Service, Healthcare, Enrollment Counselor/Health Navigator, Community Outreach, Sales, Public Speaking, Comfortable with field-based travel supporting Bronx County, etc. Also Work Schedule: Mon.-Fri. with occasional evenings and weekends. - Education/Experience: Must have HS diploma or GED, 2+ years prior experience in managed care, sales, customer service or related experience preferred, Must have basic computer skills, Driver's License: Preferred for NYC counties, Mandatory for non-NYC counties, Certifications: Must complete and pass NY State of Health approved training program and become certified, Must complete all required annual recertification courses/learnings. - Pay Range: $23.23 - $39.61 per hour. - Benefits: At Centene, we connect people... 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 mention actual pay adjusted etc. But we should keep substantive benefits: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, flexible approach to work (remote, hybrid, field or office). Also mention total compensation may include incentives, benefits subject to eligibility. We should not include EEO boilerplate. We need to decide sections: About the role (purpose), Responsibilities (key details + tasks), Requirements (education/experience, driver's license, certifications), Skills (bilingual, customer service, etc.), Benefits, Pay, Schedule. We must not repeat job title as heading. We must not include minor metadata like Job ID. We must not include placeholder text. We need to ensure we only include sections with real content. Let's craft. HTML:

About the role

The Health Benefit Representative (HBR) educates and assists individuals with enrolling in affordable health insurance 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). The role engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education, all performed in compliance with the ACA, FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.

Responsibilities

• Assist members in signing up for coverage via NYSOH and enter data into Salesforce.
• Educate individuals on 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 representative activity.
• Monitor all applications in a personal dashboard to ensure timely and accurate follow‑through.
• Conduct a daily review of the personal dashboard to address and follow up on potential leads.
• Keep abreast of all Marketplace functionalities to effectively manage individual accounts.
• Follow up on new potential enrollment leads and consumer inquiries, recording dispositions in the CRM.
• Data enter applicant demographic, enrollment site, and PCP selection data in the CRM at the time of initial enrollment.
• Comply with all conflict‑of‑interest standards and regulations.
• Work evenings and weekends as required.
• Secure and safeguard confidential information to prevent Protected Health Information (PHI) from unauthorized access.
• Participate in all trainings, updates, webinars, and forums necessary to carry out role responsibilities.
• Meet annual Marketplace Facilitated Enroller (MFE) recertification requirements.
• Maintain discretion regarding business‑related files, reports, and conversations per applicable State and Federal statutes.
• Perform other duties as assigned to satisfy role expectations.

Requirements

• High School Diploma or GED.
• 2+ years of prior experience in managed care, sales, customer service, or related experience (preferred).
• Basic computer skills.
• Driver’s License: preferred for NYC counties, mandatory for non‑NYC counties.
• 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/Arabic (highly preferred).
• Bilingual – English/Urdu, Hindi, Spanish (preferred).
• Customer service experience.
• Healthcare enrollment counselor/health navigator background.
• Community outreach.
• Sales (front‑facing or field sales).
• Public speaking.
• Comfortable with field‑based travel supporting Bronx County, NY (Bronx, Manhattan, and Queens).

Benefits

• Competitive pay.
• Health insurance.
• 401(k) and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work approach (remote, hybrid, field, or office schedules).
• Potential additional incentive compensation.

Pay

Pay range: $23.23 – $39.61 per hour.

Schedule

Monday – Friday with occasional evenings and weekends.

We must ensure we didn't include any boilerplate like EEO. We removed that. Check that we didn't repeat job title. Good. Make sure we didn't include any "Job ID" etc. All content preserved? Let's verify we captured all substantive info: - Position purpose: covered. - Key Details: community field based travel covering Bronx County, Manhattan, Queens; assist members signing up via NYSOH and enter data into Salesforce; educate eligibility; teach digital tools; describe plan features; explain metal tiers; assist with documents; support renewals; help with premium payment; culturally appropriate assistance; conduct public education; participate in ACA forums; maintain daily tracking tool; monitor dashboard; daily review; keep abreast of Marketplace functionalities; follow-up leads; record dispositions; data enter applicant data; compliance conflict-of-interest; required to work evenings and weekends; secure PHI; provide info culturally appropriate; participate in trainings; mandated MFE recertification; keep abreast of industry updates; maintain discretion; perform other tasks; comply with policies. All captured in responsibilities. - Additional Experience/Skills: bilingual preferences, customer service, healthcare enrollment counselor, community outreach, sales, public speaking, comfortable with field-based travel supporting Bronx County (covered in skills). Also "Work Schedule: Mon.-Fri. with occasional evenings and weekends" captured in schedule. - Education/Experience: HS diploma/GED, 2+ years experience, basic computer skills, driver's license, certifications. Covered. - Pay Range: captured. - Benefits: captured. We omitted some lines like "At Centene, we connect people..." but we kept benefits description. The paragraph about Centene's mission is not essential but could be considered part of About the role? It's more about company. The instruction: preserve ALL substantive information; do not invent or summarize away detail. The mission statement may be considered substantive but not required for role. However it's not boilerplate; it's a description of Centene's values. Could be included in About the role maybe. But we already have About the role focusing on role purpose. Could add a paragraph about Centene's mission as part of About the role? The instruction says preserve ALL substantive information. So we should include that statement. However we must not create filler. The statement: "At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday." That's substantive. We could add a

after About the role or maybe a separate section? But we only have defined headings; we could add it under About the role as additional paragraph. Similarly the benefits paragraph includes "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. 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." We captured benefits list but omitted the note about actual pay adjustment and total compensation may include incentives, benefits subject to eligibility. Those are substantive. We should incorporate them. We can add a

under Benefits describing that actual pay adjusts etc. Also we need to include the line about "Centene is an equal opportunity employer..." but that's EEO boilerplate, we should remove. Thus adjust. Add to About the role: after purpose paragraph, add a paragraph about Centene's mission. Add to Benefits: after

list, add a

about actual pay adjustment, total compensation may include incentives, benefits subject to program eligibility. Also we might include the line about "Actual pay will be adjusted based on an individual's skills, experience, education,