Position Details

Type Full-Time

Experience senior

Exp. Years 3 years

Education Not specified

Category Healthcare & Medical

About this role

Senior Specialist, Benefit Sales provides senior-level support for member enrollment activities, guiding eligible members through health insurance enrollment and coordinating with community partners for outreach events.

Key Responsibilities

Assists with inbound/outbound calls to support enrollment goals
Leads projects to meet enrollment targets
Maintains enrollment calendar
Performs quality checks and training for facilitated enrollment team
Meets with prospective members to educate and assist with applications

Technical Overview

Focus on enrollment processes, NYSOH compliance, HIPAA privacy, data processing, and training; interacts with community organizations and health care providers.

Ideal Candidate

The ideal candidate is an experienced health care enrollment specialist with at least 3 years in health care/customer services, NYSOH training, and strong HIPAA/privacy awareness, capable of managing enrollment tasks and outreach in New York communities.

Must-Have Skills

At least 3 years of experience in health care and/or customer/provider servicesCompletion of NYSOH required trainingcertification and recertification for NYReliable transportation and a valid driver's licenseInterpersonal/customer service skillsData processing and proofing experienceAttention to detail and ability to work independentlyKnowledge of managed care insurance plansHIPAA compliance

Nice-to-Have Skills

Team lead experienceBilingual Spanish and English

Tools & Platforms

Microsoft Office

Required Skills

3+ years health care or customer/provider services; NYSOH training; enrollment processes; HIPAA; data processing; customer service; confidentiality; Microsoft Office

Hard Skills

HIPAANYSOHEnrollment processingData processingCustomer serviceMicrosoft OfficeCommunication skillsPrivacy and confidentiality

Soft Skills

Interpersonal skillsTime-managementOrganizational skillsProblem-solving

Certifications

Required

New York State of Health Assistors (NYSOH) trainingcertification and recertification required for the state of New York

Industry & Role

Industry Healthcare

Job Function Provide end-to-end enrollment support and outreach for Molina health insurance programs

Role Subtype senior

Keywords for Your Resume

senior specialist benefit salesin field queens nymolina healthcareenrollmentfacilitated enrollmentHIPAANYSOHNew York State of Healthhealth insurance programscustomer servicedata processingenrollment calendarprivacytrainingoutreachCAPsconfidentialityPIIenrollment goalsmonthly enrollment calendar

Deal Breakers

No NYSOH training/certification, No valid driver's license, Inability to travel to community sites

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Senior Specialist, Benefit Sales (In Field, Queens, NY)

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