Sup. State Programs Outreach and Engagement

Company: Capital District Physicians' Health Plan, Inc
Location: Albany
Posted on: January 16, 2020

Job Description:

For more than 30 years, CDPHP has been providing outstanding health care coverage in the Capital Region of New York and beyond. Based in Albany, NY, the physician-guided not-for-profit offers plans in 24 counties. CDPHP cares deeply about the health and well-being of its members as well as its employees. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

The Supervisor, State Programs Outreach will be responsible for the establishment and maintenance of the relationships with community based organizations and outreach locations, and the daily oversight of the Facilitated Enroller Level III at these locations. State Programs Facilitated Enrollers advance CDPHP s goals for member enrollment and retention of members who enroll through the NY State of Health, as well as the goal of being a valuable resource to the community. The Supervisor will be responsible for monitoring the quality, workflow and training of external State Programs Facilitated Enrollers. The Supervisor will also be responsible for the development and maintenance of a facilitated enrollment schedule, ensuring facilitated enrollment adherence to state and CDPHP program rules and expectations, and proposing and implementing initiatives regarding enrollment retention and member recertification at external sites. The Supervisor will work closely with the operational team in the State Programs department, the Supervisor for the State Programs Enrollment Center, as well as other business partners such as Member Services and Sales.

QUALIFICATIONS:

* High school diploma or GED required. Associates degree preferred.

* CAC (Certified Application Counselor) certification required, or must be obtained within 30 days of hire.

* NYS Life Accident & Health insurance license preferred.

* Minimum two (2) year supervisory, team lead or other senior level experience in an area which services and/or markets customers in the health insurance industry is required.

* Minimum three (3) years of experience in a customer/provider service department is required.

* Government experience preferred.

* Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required.

* Knowledge of Salesforce is preferred.

* Demonstrated ability to lead, coach, train or supervise staff.

* Demonstrated ability to determine, analyze and solve escalated issues related to state programs enrollment and premium billing issues required.

* Ability to interpret health plan contract language, State Programs enrollment requirements, and billing requirements.

* Demonstrated ability to work with diverse populations, including the ability to communicate effectively with members with varying levels of health literacy and understanding.

* Demonstrated ability to work collaboratively with multiple partners to positively affect outcomes at the team, organization and member level.

* Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow.

* Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.

* Demonstrated ability to work with and maintain confidential information.

* Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.

* Excellent verbal and written communication skills.

* Flexibility to adapt to a changing and fast-paced environment.

* Ability to travel regionally.

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicant s race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.

Keywords: Capital District Physicians' Health Plan, Inc, Albany , Sup. State Programs Outreach and Engagement, Other , Albany, New York