Centene Corporation is hiring a Health Benefit Representative to sell Fidelis Care products and services and a Customer Care Associate - Russian, Ukrainian, Bosnian Language Preferred, to assist members and clients at an assigned Fidelis Care office location in Utica.
Health Benefit Representative.
Full time for Centene Corporation in Utica, NY.
Position Purpose:
The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an assigned territory and then meeting or exceeding production goals by enrolling individuals in the appropriate Fidelis Care product. The HBR fully and thoroughly understands and is able to effectively explain, communicate, recommend and enroll individuals into the best product for their unique needs. In-depth knowledge of all Fidelis Care products, including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
The HBR interacts directly with individuals, first conducting a needs based analysis to better understand and recommend the best product for their unique needs. They educate individuals on healthy lifestyles, preventive care services and assist them through each step of the application and enrollment process.
This position may represent Fidelis Care at various community events, marketing sites, and in an individual's home. By virtue of understanding and serving the individual's needs, they generate referrals from the individuals they have assisted for other individuals that may benefit from one of Fidelis Care's products.
The successful HBR also builds and establishes relationships within the community in order to find new opportunities and sites in their assigned territory. The HBR may routinely deliver presentations in order to educate and promote Fidelis Care products. This includes presentations to individuals, groups, providers, community based organizations and local businesses leaders.
The HBR thoroughly and completely understands and regularly uses the Sales Force CRM as an activity tracking and lead/referral tracking tool, to manage appointments and follow up, manage their calendar and report on activity to their management. They also are fluent and can articulate the QCMI program, are knowledgeable of the provider networks in their territory and have a working knowledge of Fidelis Care's care management approach.
Comprehensive Benefits Package:
* Flexible work solutions including remote options, hybrid work schedules and dress flexibility.
* Competitive pay.
* Paid Time Off including paid holidays.
* Health insurance coverage for you and dependents.
* 401(k) and stock purchase plans.
* Tuition reimbursement and best-in-class training and development.
Education/Experience:
High School diploma or GED, required.
2 to 5 years prior experience in managed care, sales, customer service or related experience preferred.
Basic computer skills.
Driver's License may be required by some plans.
Specific language skills may be required by some plans.
Interested candidates may apply online at https://jobs.centene.com/us/en/job/CENTUS1329833EXTERNALENUS/Health-Benefit-Rep-Oneida
Centene is an equal opportunity employer
Customer Care Associate-Russian, Ukrainian, Bosnian Language Preferred.
Full time for Centene Corporation in Utica, NY.
Position Purpose:
The Customer Care Associate (CCA) is responsible for assisting members and clients at an assigned Fidelis Care office location. The CCA must meet daily performance standards and customer service standards in order to achieve the highest level of membership satisfaction. The CCA assists, educates and resolves client and member inquiries by providing information about Fidelis Care products, services as well as policies and procedures. The position is responsible for enrolling prospective members and renewing Fidelis Care member's coverage while maintaining the highest compliance standards in accordance with all regulatory, audit and corporate policies.
To assist members and clients by meeting or exceeding key performance metrics, which consists of logging every interaction into Salesforce including but not limited to the completion of applications and calls. Documentation in Facets and other systems as required. Comply with all NYSOH Marketing Guidelines and all Fidelis and Centene trainings within required timeframes. Consistently meet quality standards for calls, client meetings and application submission and documentation. Meet monthly quality standards of as reflected in the Salesforce Hit Rate and Supervisor in-person audits. Ensure Receipts are complete and attached to application in Salesforce.
Clarify the customer's complaint; determine the cause of the problem; select and explain the best solution to solve the problem (if unable to handle directly, provide accurate guidance to correct department) and expedite correction or adjustment; follow up to ensure resolution.
Develop and maintain relationships with existing members by providing guidance and assistance throughout the year. Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Fidelis Care. Modify delivery skills accordingly to overcome objections and retain members. Identify solutions to issues and concerns. To include, payment Inquiries, ID requests, PCP changes, renewal and benefit inquires as they present at the office or other assigned sites.
Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, tabling at community based office, provider offices and events as needed to include nights and weekends. Performing duties of higher rated positions from time to time for developmental purposes.
Education/Experience:
High School Diploma or Equivalent Required, Associates Degree or Bachelor's Degree Preferred
License/Certification:
Ability to undergo rigorous internal training and have complete command of the sales process, Fidelis Care products, competitive environment in their region and successfully pass a test (with a minimum 85% score) with no more than 2 attempts, which will indicate the applicants level of proficiency in these areas.
For Fidelis Care plan only: bilingual candidates (Russian, Ukrainian, Bosnian) are preferred.
Comprehensive Benefits Package:
* Flexible work solutions including remote options, hybrid work schedules and dress flexibility.
* Competitive pay.
* Paid Time Off including paid holidays.
* Health insurance coverage for you and dependents.
* 401(k) and stock purchase plans.
* Tuition reimbursement and best-in-class training and development.
Interested candidates may apply online at https://jobs.centene.com/us/en/job/1330154/Customer-Care-Associate-Russian-Ukranian-Bosnian-languages-preferred
Centene is an equal opportunity employer.
