Centers Plan for Healthy Living

  • Benefit Navigator

    Job Locations US-NY-Staten Island
    Posted Date 3 months ago(3 months ago)
    ID
    2018-1321
    # of Openings
    1
    Category
    Business Development
  • Overview

    New CPHL Logo

    JOB SUMMARY:

     

    Under the direction of the AVP of Business Development, and Internal Support Manager MLTC; the Benefit Navigator will be responsible for providing PROACTIVE support and advocacy for current and future Centers Plan for Healthy Living MLTC members. The Benefit Navigator will make members aware of services and benefits available both directly through Centers Plan for Healthy Living (covered MLTC benefits, MAPD Plan benefits, etc.) and through outside vendors and organizations as allowed under MLTC and facilitated by Centers Plan for Healthy Living (transportation benefits, home-delivered meals, etc.). The representative will contact members primarily through outbound calls in an effort to ensure that members are maximizing their Centers Plan for Healthy Living benefit usage.

     

    Responsibilities

    PRIMARY RESPONSIBILITIES: 

     

    • Contact a daily “quota number” of MLTC members and introduce them to CPHL MLTC services that they may be available for.
    • Convert a percentage of the daily “quota number” into a “goal number” of interested prospects for the other lines of business such as MAPD
    • Document call interactions and develop activity reports.
    • Maintain working knowledge of organizational, compliance and regulatory requirements associated with Centers Plan for Healthy Living various lines of business.
    • Work closely with MLTC and MAPD management in accomplishing goals.
    • Perform other duties as assigned by Management.

    Qualifications

    Education

     

    Required:   High school Diploma required

    Preferred:   Bachelor Degree      

     

     

    Type of Experience                                          

    Required:   

    Preferred:  Customer Service/Retention in Health Care or related experience.  

     

    Specific Technical Skills

    Preferred:    Microsoft Office

     

    Certifications/Licensure:

    Required:    

                

     

     

    Knowledge and Skills:

     

    • Bilingual
    • Basic computer skills required
    • Clear and enthusiastic phone-speaking voice
    • Ability to translate complex concepts into easy-to-understand terms for Seniors
    • Organization and problem-solving skills

     

     

    Preferred:

     

     

     

    SCOPE INFORMATION

    # Direct Reports:                             

               

     

    Physical Requirements:

    The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

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    The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification.  They should not be construed as an exhaustive list of all responsibilities, duties and skills required

     

     

     

     

     

     

     

     

     

     

     

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