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Tailor your resume to this Field Health Benefit Rep - Bilingual (Health Navigator) role.
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Tailor your resume to this Field Health Benefit Rep - Bilingual (Health Navigator) role.
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Don't guess if your resume is good enough.
See how it scores against the Field Health Benefit Rep - Bilingual (Health Navigator) posting at Centene Corporation — free, in seconds.
About the Role
The Health Benefit Representative (HBR) educates and assists individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This role supports enrollment in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans, and Health & Recovery Plan. The HBR engages prospective members, assists with renewals, and provides benefit education, all while adhering to compliance standards and prioritizing customer experience and community engagement.
Responsibilities
- Educate and assist individuals with enrolling in coverage 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).
- Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.
- Teach members about Fidelis digital tools (member portal, mobile app).
- Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.
- Explain metal tiers within the Marketplace and how benefits vary by income level.
- Assist consumers with submitting required documents via scan, fax, or mail.
- Support existing members with renewals and recertifications.
- Help consumers with premium payment submissions when required.
- Provide culturally and linguistically appropriate assistance.
- Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.
- Participate in ACA forums, workshops, and community events as requested.
- Maintain a daily tracking tool that entails detailed rep activity.
- Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.
- Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.
- Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.
- Follow-up on all new potential enrollment leads and consumer inquiries.
- Record all follow-up dispositions in a timely and accurate manner within the required "CRM".
- Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.
- Must be in compliance with all conflict-of-interest standards and regulations.
- Required to work evenings and weekends.
- Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.
- Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.
- Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.
- Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.
- Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.
- Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.
- Perform all other tasks and responsibilities as required to satisfy the expectations of the role.
- Performs other duties as assigned.
- Complies with all policies and standards.
Requirements
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
- Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
- Must have a High School Diploma or GED.
- Must have basic computer skills.
- Must have prior Public Speaking experience.
- Must complete and pass the NY State of Health approved training program and become certified.
- Must complete all required annual recertification courses/learnings.
Skills
- Bilingual South Asian Languages- English/Bengali, Hindi, Urdu, Arabic, Gujrati
- Community Outreach
- Front Facing Sales
- Sales/Field Sales
- Prospecting, tabling, events
- MS Office Suite
- Salesforce
- South Asian Languages - English/Bengali, Hindi, Urdu, Arabic, Gujrati
- CAC Certification preferred
Location
- 100% Community field-based travel supporting Queens County, NY
Work Type
- Field-based
- Full-time
Experience Level
- 2+ years of prior experience in managed care, sales, customer service or related experience preferred
Education Level
- High School Diploma or GED
Salary/Compensations
- competitive pay
Benefits
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
About the Company
- At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.
- You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.
- It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Equal Opportunity
- Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
- Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act