Healthfirst hiring Manager, Medicare Benefits Enrollment in New York, NY | LinkedIn (2024)

The Manager, Medicare Benefits Enrollment oversees the activities of staff who provide Healthfirst's Medicare members and families with assessment and interventions related to enrollment processing of qualified, eligible candidates for enrollment and obtaining and retaining of financial entitlements for which they are eligible. Ours is a paperless work environment requiring daily hands-on administration of multiple proprietary and packaged electronic databases including security requirement tools such as encryption. These systems include, but are not limited to, Salesforce, eFax, VoIP, Virtual Work Platforms (using VPN), and scanning.

• Supervises telephonic and field staff. This includes observing staff in the field and conducting customer phone surveys.
• Tracks the Application outcomes, to meet departmental enrollment conversion goals. Addresses patterns of appointments outcomes: Not interested, re-scheduled or cancelled prospects/members.
• Tracks/ensures timely, accurate completion & submission of application outcomes.
• Coordinates a synchronized workflow while maintaining the integrity of confidential information about prospective enrollees, as well as proprietary business information in collaboration with staff in Marketing, Enterprise Delivery Services, Product, Community Engagement, and Sales.
• Conducts monthly audits established by yearly audit plan in the areas of Enrollment, Medicaid and Customer Service surveys; tracking of applications/documents.
• Directs the Enrollment process by explaining features to callers; entering activities into Salesforce, responding to questions from enrollees/significant others and resolving daily routine problems including complicated cases.
• Prepares monthly summary reports to show status applications,
• Works collaboratively to show where applications are in the enrollment pipeline, and to establish annual & monthly goals, measure KPIs against those goals.
• Presents updates to key stakeholder on a consistent basis – including to multiple stakeholders including sales teams, operating teams, peers, and leaders.
• Keeps up to date on Medicaid and other entitlement program issues and on changes in Medicaid/Medicare/HMO laws and shares information with Care Team Social Work and other Care Team members as appropriate.
• Contributes to continuous performance improvements, this includes but not limited to monitoring staff effectiveness based on productivity, conversion of referral to enrollment, documentation, accuracy of data entry, and overall timeliness of the intake and assessment process.
• Maintain a calm and even disposition even during the handling of crisis situations.
• Ability to multitask and remain focused in an environment with distractions.
• Follows protocol and uses common sense to escalate situations to management and clinical staff appropriately.
• Additional duties as necessary

Minimum Qualifications

• Bachelor's degree from an accredited institution or relevant experience
• Experience providing administrative support to other departments by coordinating processes and guaranteeing quality of patient information resulting in maximum customer service.
• 1 year of healthcare experience in Managed Long-Term Care (MLTCP), Medicaid or Medicare.
• Supervisory experience with 5 or more direct reports conducting performance evaluations, interviews, and corrective actions, as well as, training new or junior staff in daily department operational procedures, product knowledge, field-based functions, call center-based functions, protocols, compliance and methodology OR experience as a Team Leader responsible for training new staff and directing projects to completion by delegating assignments and maintaining deadlines successfully.
• Ability to travel within NYC, Westchester, and Nassau counties.
• Occasional need to work weekends, on-call, additional hours before or after shift schedule and/or from other HF site locations.

Preferred Qualifications

• Experience servicing the aging population.
• Ability to maintain a calm and even disposition even during the handling of crisis situations.
• Ability to multitask and remain focused in an environment with distractions.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
• All Other Locations (within approved locations): $86,500 - $128,690

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.