Field Health Benefit Representative (Facilitated Enroller)

Centene Management Company • Brooklyn, NY

2d • Onsite

About The Position

The Field Health Benefit Representative (Facilitated Enroller) educates and assists individuals with enrolling in affordable health insurance 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. Work is performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, regulatory guidelines, and Fidelis Care standards, with an emphasis on customer experience and community engagement.

This is a field-based position serving Brooklyn and Staten Island, New York. The representative provides culturally and linguistically appropriate assistance, maintains accurate records and follows up on applications and consumer inquiries, protects confidential information, and keeps current with Marketplace procedures and regulatory updates. The role requires evening and weekend work. Fluency in Cantonese and/or Mandarin is highly preferred. Candidates must be authorized to work in the United States without current or future employment-based visa sponsorship.

Requirements

• High school diploma or GED.
• Basic computer skills.
• Prior public speaking experience.
• Complete and pass the NY State of Health-approved training program and become certified.
• Complete all required annual recertification courses and learning.
• Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future.
• Must work evenings and weekends.

Nice To Haves

• Two or more years of prior experience in managed care, sales, customer service, or a related field.
• Fluency in Cantonese and/or Mandarin.
• Driver’s license preferred for NYC counties; mandatory for non-NYC counties.

Responsibilities

• Educate and assist individuals with enrollment through the NY State of Health Marketplace, including NYM, CHP, EP, QHP, and HARP.
• Explain eligibility for public programs, federal premium tax credits, cost-sharing reductions, plan features, benefits, cost-sharing mechanisms, and Marketplace metal tiers.
• Teach members to use Fidelis digital tools, including the member portal and mobile app.
• Assist consumers with submitting required documents by scan, fax, or mail, and help with premium payments when required.
• Support existing members with renewals and recertifications.
• Provide culturally and linguistically appropriate assistance to the population served by the Marketplace.
• Conduct public education activities and presentations and participate in ACA forums, workshops, and community events as requested.
• Maintain a daily activity tracking tool and monitor the personal dashboard to ensure timely, accurate application follow-through.
• Review the personal dashboard daily, follow up on potential leads and consumer inquiries, and record dispositions accurately and promptly in the required CRM.
• Enter applicant demographic, enrollment site, and PCP selection data in the required CRM during the initial enrollment encounter.
• Keep current with Marketplace functionalities, industry and regulatory updates, and information needed to manage individual accounts.
• Protect confidential information and prevent unauthorized access to Protected Health Information (PHI); maintain discretion regarding business files, reports, and conversations.
• Participate in required trainings, updates, webinars, and forums, and complete annual Marketplace Facilitated Enroller recertification requirements.
• Comply with conflict-of-interest standards, applicable regulations, policies, and standards; perform other duties as assigned.

Benefits

• Competitive pay.
• Health insurance.
• 401(k) and stock purchase plans.
• Tuition reimbursement.
• Paid time off and holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.
• Total compensation may include additional incentives, and benefits may be subject to program eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED