Specialist, Benefit Sales (Facilitated Enroller) (In Field - Bronx, NY)
for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. The posting includes Job Summary (we could map to About the role). Essential Job Duties -> Responsibilities. Required Qualifications -> Qualifications (maybe also Requirements). Preferred Qualifications could be Skills? Or we could treat as Skills. There's also mention of benefits: "Molina Healthcare offers a competitive benefits and compensation package." That's vague but mentions benefits. However we should not include a Benefits section unless posting actually states them. It says "competitive benefits and compensation package" but no specifics. The rule: never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Here we have Pay Range: $18.04 - $42.2 / HOURLY. That's specific pay range, so we can include Pay section. Benefits: only generic statement, not specific benefits; we should not create Benefits section. Schedule: not mentioned. So we include About the role (Job Summary), Responsibilities (Essential Job Duties), Qualifications (Required Qualifications), Skills (Preferred Qualifications maybe), Pay (Pay Range). Also maybe Requirements? Could combine Required Qualifications as Qualifications. The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose which to include. We have content for About the role, Responsibilities, Qualifications, Skills, Pay. We could also include Requirements if we have something like "Required Qualifications" but that's same as Qualifications. To avoid duplication, we could treat Required Qualifications as Qualifications, and maybe Requirements as something else? There's no separate Requirements section. So we omit Requirements.
We need to use - for any list of duties/requirements/benefits. For prose, use
. So we need to convert the duties into list items. The Essential Job Duties is a paragraph with many sentences separated by periods. We should split into list items each duty. Similarly Required Qualifications is a list of items separated by periods or line breaks. We'll make
- for each.
We must preserve all substantive information, not invent or summarize away detail. So we need to keep all details.
Let's extract content.
Job Summary: "Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts."
We'll put that in
under About the role.
Essential Job Duties list:
- Meets monthly, quarterly, and annual member enrollment goals and growth targets.
- Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans.
- Meets with potential members at various sites within applicable communities.
- Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation.
- Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures.
- Educates members on options to make premium payments, including due dates.
- Assists members with plan and primary care physician selection.
- Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements.
- Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members
- Responds to inquiries from prospective members according to marketing guidelines.
- Adheres to health plan rules and regulations as applicable for member enrollment.
- Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week.
- Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted.
- Develops and strengthens relationships in order to generate new opportunities.
- Attends community health fairs, events and external meetings as required.
- Attends occasional weekend or evening special events as needed.
- Local travel required.
We need to keep each as
- .
Required Qualifications:
- At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience.
- Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire.
- Must have reliable transportation and a valid driver's license with no restrictions.
- Interpersonal/customer service skills.
- Data processing and proofing experience.
- Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines.
- Positive attitude, and ability to adapt to change.
- Knowledge of managed care insurance plans.
- Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
- Effective verbal and written communication skills, including strong presentation skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications:
- Previous experience enrolling members into managed care programs/health insurance.
- Bilingual – Spanish and English.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. (This is application instruction; we must remove application instructions per rules: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we drop that line.)
- Molina Healthcare offers a competitive benefits and compensation package. (This is generic; we might keep as part of About? But it's not specific benefits; we should not create Benefits section. Could we include it in About the role? It's not part of job summary; maybe we can include as a brief statement under About the role? But rule: preserve ALL substantive information; do NOT invent or summarize away detail. This statement is substantive but vague. It's about benefits and compensation. Since we have Pay section, we could mention that benefits are competitive but not detail. However we should not create Benefits section. Could we include it as a
under About the role? It's not about role but about compensation. Might be better to include a short
under Pay section? But Pay section already has pay range. We could add a sentence: "Molina Healthcare offers a competitive benefits and compensation package." That's not pay or schedule. It's still substantive. Where to put? Perhaps we can add a
after Pay section? But we shouldn't create a Benefits section. Could we add a
under Pay? Might be okay. However the rule: "Prefer a few substantive sections over many thin ones." So we could incorporate that statement into the Pay section as a note. But Pay section should contain pay range; we can add a
after the range.
- Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V (EEO boilerplate; remove).
- Pay Range: $18.04 - $42.2 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
We need to keep Pay Range statement.
Thus final HTML:
About the role
Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts. Molina Healthcare offers a competitive benefits and compensation package.
Responsibilities
- Meets monthly, quarterly, and annual member enrollment goals and growth targets.
- Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans.
- Meets with potential members at various sites within applicable communities.
- Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation.
- Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures.
- Educates members on options to make premium payments, including due dates.
- Assists members with plan and primary care physician selection.
- Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements.
- Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members
- Responds to inquiries from prospective members according to marketing guidelines.
- Adheres to health plan rules and regulations as applicable for member enrollment.
- Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week.
- Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted.
- Develops and strengthens relationships in order to generate new opportunities.
- Attends community health fairs, events and external meetings as required.
- Attends occasional weekend or evening special events as needed.
- Local travel required.
Qualifications
- At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience.
- Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire.
- Must have reliable transportation and a valid driver's license with no restrictions.
- Interpersonal/customer service skills.
- Data processing and proofing experience.
- Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines.
- Positive attitude, and ability to adapt to change.
- Knowledge of managed care insurance plans.
- Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
- Effective verbal and written communication skills, including strong presentation skills.
- Microsoft Office suite and applicable software programs proficiency.
Skills
- Previous experience enrolling members into managed care programs/health insurance.
- Bilingual – Spanish and English.
Pay
Pay Range: $18.04 - $42.2 / HOURLY. Actual compensation may vary from posting based on geographic
. So we need to convert the duties into list items. The Essential Job Duties is a paragraph with many sentences separated by periods. We should split into list items each duty. Similarly Required Qualifications is a list of items separated by periods or line breaks. We'll make
- for each.
We must preserve all substantive information, not invent or summarize away detail. So we need to keep all details.
Let's extract content.
Job Summary: "Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts."
We'll put that in
under About the role. Essential Job Duties list: - Meets monthly, quarterly, and annual member enrollment goals and growth targets. - Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans. - Meets with potential members at various sites within applicable communities. - Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation. - Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures. - Educates members on options to make premium payments, including due dates. - Assists members with plan and primary care physician selection. - Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements. - Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members - Responds to inquiries from prospective members according to marketing guidelines. - Adheres to health plan rules and regulations as applicable for member enrollment. - Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week. - Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted. - Develops and strengthens relationships in order to generate new opportunities. - Attends community health fairs, events and external meetings as required. - Attends occasional weekend or evening special events as needed. - Local travel required. We need to keep each as
- .
Required Qualifications:
- At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience.
- Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire.
- Must have reliable transportation and a valid driver's license with no restrictions.
- Interpersonal/customer service skills.
- Data processing and proofing experience.
- Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines.
- Positive attitude, and ability to adapt to change.
- Knowledge of managed care insurance plans.
- Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
- Effective verbal and written communication skills, including strong presentation skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications:
- Previous experience enrolling members into managed care programs/health insurance.
- Bilingual – Spanish and English.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. (This is application instruction; we must remove application instructions per rules: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we drop that line.)
- Molina Healthcare offers a competitive benefits and compensation package. (This is generic; we might keep as part of About? But it's not specific benefits; we should not create Benefits section. Could we include it in About the role? It's not part of job summary; maybe we can include as a brief statement under About the role? But rule: preserve ALL substantive information; do NOT invent or summarize away detail. This statement is substantive but vague. It's about benefits and compensation. Since we have Pay section, we could mention that benefits are competitive but not detail. However we should not create Benefits section. Could we include it as a
under About the role? It's not about role but about compensation. Might be better to include a short
under Pay section? But Pay section already has pay range. We could add a sentence: "Molina Healthcare offers a competitive benefits and compensation package." That's not pay or schedule. It's still substantive. Where to put? Perhaps we can add a
after Pay section? But we shouldn't create a Benefits section. Could we add a
under Pay? Might be okay. However the rule: "Prefer a few substantive sections over many thin ones." So we could incorporate that statement into the Pay section as a note. But Pay section should contain pay range; we can add a
after the range. - Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V (EEO boilerplate; remove). - Pay Range: $18.04 - $42.2 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. We need to keep Pay Range statement. Thus final HTML:
About the role
Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. Also develops and maintains relationships with local community agencies, health care organizations, and county/state agencies that refer potential eligible members, and represents at community-based outreach events to aid enrollment efforts. Molina Healthcare offers a competitive benefits and compensation package.
Responsibilities
- Meets monthly, quarterly, and annual member enrollment goals and growth targets.
- Facilitates inbound/outbound calls to interview, screen and assist potential eligible members with enrollment processes into qualified Molina health plans.
- Meets with potential members at various sites within applicable communities.
- Provides education and support to potential members navigating the complex health care system by assisting with the application process, explaining requirements and providing necessary documentation.
- Identifies and educates potential members on all aspects of applicable plans, including answering questions related to plan features and benefits and walking consumers through required disclosures.
- Educates members on options to make premium payments, including due dates.
- Assists members with plan and primary care physician selection.
- Submits all completed applications, adhering to submission deadline dates as imposed by state specific requirements and Molina enrollment guidelines and requirements.
- Identifies and assists current members who are due to recertify health care coverage by completing the annual recertification application, including add-on for additional eligible family members
- Responds to inquiries from prospective members according to marketing guidelines.
- Adheres to health plan rules and regulations as applicable for member enrollment.
- Participates in events and community outreach projects with other agencies as assigned by leadership for a minimum of eight hours per week.
- Establishes and maintains good working relationships with external business partners such as hospital and provider organizations, city agencies and community-based organizations where enrollment activities are conducted.
- Develops and strengthens relationships in order to generate new opportunities.
- Attends community health fairs, events and external meetings as required.
- Attends occasional weekend or evening special events as needed.
- Local travel required.
Qualifications
- At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience.
- Marketplace Certified (Valid, unrestricted NYSOH Certified Application Counselor ID – CAC) or ability to obtain certification within 30 days of hire.
- Must have reliable transportation and a valid driver's license with no restrictions.
- Interpersonal/customer service skills.
- Data processing and proofing experience.
- Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines.
- Positive attitude, and ability to adapt to change.
- Knowledge of managed care insurance plans.
- Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
- Effective verbal and written communication skills, including strong presentation skills.
- Microsoft Office suite and applicable software programs proficiency.
Skills
- Previous experience enrolling members into managed care programs/health insurance.
- Bilingual – Spanish and English.
Pay
Pay Range: $18.04 - $42.2 / HOURLY. Actual compensation may vary from posting based on geographic