Job Description

EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation’s largest not-for-profit health insurers, we serve more than three million people in the New York tristate area. EmblemHealth’s family of companies includes ConnectiCare, one of Connecticut’s leading health plans; AdvantageCare Physicians, a primary and specialty care practice; and WellSpark, a digital wellness company.

We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born: a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 80 years, our purpose as a not-for-profit is still the same: to provide quality, affordable health insurance for New Yorkers and their families.

As health care has evolved, so have we. In addition to being a leading health plan, we also have other companies that are part of the EmblemHealth family, including AdvantageCare Physicians, a primary and specialty care provider serving many of our members across its more than 35 locations.

We think of ourselves as an 80-year-old start-up: big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us, even if you don’t have health care experience.

DESCRIPTION OF DUTIES:

• Present to, follow up and sell Individual Medicaid, Essential Plan, QHP and CHP products on a direct sales basis.  Assist and enroll individuals by completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets.   
• Conduct home visits and other appointments as needed to complete the application and obtain all required documentation.
• Develop and maintain appropriate understanding of the health care products related to sales responsibility.  Successfully complete periodic certification and testing to maintain knowledge level established by regulations. 
• Maintain appointments, develop community marketing sites, establish relationship with community-based organizations, participate in health-related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees.
• Stimulates word-of-mouth referrals from participants, prospects and their families.
• Utilize automated tools to perform individual enrollment duties.  
• Refer all existing members up for recertification to Retention Specialist when applicable.
• Perform recertification activities when necessary.
• Function as a liaison between all EmblemHealth departments to help identify and capture prospect’s problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth’s image as a High Quality and Affordable health plan in the community.
• Assist members with selecting a Primary Care Physician (PCP) using the provider directory.
• Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers. 
• Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s). All activity entered into Salesforce tool. 
• Performs other duties as assigned or required.
• Regular attendance is an essential function of the job.

EDUCATION: 

• High School Diploma and/or 4 years of relevant work experience

QUALIFICATIONS:

• Driver’s License and automobile with appropriate coverage is required for territories Travel in the New York metropolitan area required
• Must be able to work nights and weekends as required
• Excellent interpersonal and presentation skills and the ability to work independently
• Excellent organizational and communication skills, both verbal and written
• Ability to develop strong relationships and influences in the community
• Ability to input and update data in database system
• Works independently and produces Self-Generated leads
• Ability to multi-task
• Successful completion of annual product training and testing to maintain regulatory certification

Company Description

EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation’s largest not-for-profit health insurers, we serve more than three million people in the New York tristate area. EmblemHealth’s family of companies includes ConnectiCare, one of Connecticut’s leading health plans; AdvantageCare Physicians, a primary and specialty care practice; and WellSpark, a digital wellness company. We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born: a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 80 years, our purpose as a not-for-profit is still the same: to provide quality, affordable health insurance for New Yorkers and their families. As health care has evolved, so have we. In addition to being a leading health plan, we also have other companies that are part of the EmblemHealth family, including AdvantageCare Physicians, a primary and specialty care provider serving many of our members across its more than 35 locations. We think of ourselves as an 80-year-old start-up: big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us, even if you don’t have health care experience.