Description and Requirements
Duties/Responsibilities:
- Responsible for coordinating monthly retention files received from Decision Point and distributing to field Marketplace Retention Specialists. This includes summarizing outcomes of dispositions and providing monthly call outcome reports and close ratios. Responsible for coordinating and distributing monthly QHP premium files to Marketplace Facilitated Enrollment team and centralizing call results.
- Assist with designing, testing, implementing, documenting and managing workflows, processes and policies pertaining to system support for the PHSP unit including maintenance and testing the CDOH scheduler platform, Prospect Web Database, SLX and site maintenance systems.
- Participate in relevant entitlement trainings and meetings. Contribute creative solutions for seamless communication and systematic completion of routine and special projects.
- Maintain current working knowledge of sales’ system functionality, policies and procedures. Demonstrate working knowledge of regulatory and corporate guidelines. Must stay abreast on changes to all lines of business under the department's umbrella (Medicaid, CHP, EP, QHP, Commercial, Medicare, Complete Care, Senior Health Partners) to ensure processes are current and in compliance with Regulatory, marketing guidelines, and overall corporate policies.
- Manages and reports weekly enrollment call|in reports. Develop and maintain various daily, weekly, monthly, quarterly and ad|hoc business unit reports.
- Make recommendations on potential solutions for deficiencies detected and assume ownership of the task. Prepare power|point presentations to share data with members of the senior and executive management team.
- Work with external clients on an ad|hoc basis and maintain positive working relationship with owner and par hospitals, key providers, and vendors as needed. Imperative to respond to their inquiries in a timely basis and providing resolutions to concerns as expeditiously as possible to perpetuate and solidify their partnership with Healthfirst.
- Manage and maintain the business document retention process and policies for the sales business units.
- Acts as the Privacy Ambassador for the business development unit.
- Must take ownership of tasks, oversee and provide regular updates for projects from planning through solution phase.
- Additional duties as assigned
Minimum Qualifications
- High School Diploma or GED Equivalent
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $57,408 - $76,960
All Other Locations (within approved locations): $49,795 - $72,800
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.