Health Benefit Rep
Fidelis Care - New York · New York, New York, United States · 3 wk ago
Human ResourcesFull-time
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.
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,