Facilitated Enroller - Benefit Sales
$18.04 - $42.20/hr
Mid
Bronx, NY, USA
In PersonLocal travel required.
InsuranceInsurance Sales & Agency
About the job
Requirements
- At least two years of experience in health care and/or customer/provider services, including at least one year working with state and federal health insurance programs and populations, or an equivalent combination of relevant education and experience.
- Marketplace certification (a valid, unrestricted New York State of Health Certified Application Counselor ID) or ability to obtain certification within 30 days of hire.
- Reliable transportation and a valid, unrestricted driver's license.
- Interpersonal and customer service skills.
- Data processing and proofing experience.
- Attention to detail, organizational and time-management skills, and ability to work independently and meet internal deadlines.
- Positive attitude and ability to adapt to change.
- Knowledge of managed care insurance plans.
- Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities.
- Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with coworkers, members, providers, and customers.
- Effective verbal and written communication skills, including strong presentation skills.
- Proficiency with Microsoft Office and applicable software programs.
Responsibilities
- Meet monthly, quarterly, and annual member enrollment goals and growth targets.
- Facilitate inbound and outbound calls to interview, screen, and assist potential eligible members with enrollment in qualified Molina health plans.
- Meet with potential members at various sites within applicable communities.
- Educate and support potential members navigating the health care system by assisting with applications, explaining requirements, and providing necessary documentation.
- Identify and educate potential members on applicable plan features and benefits, answer questions, and guide consumers through required disclosures.
- Educate members on options for premium payments, including due dates.
- Assist members with plan and primary care physician selection.
- Submit completed applications in accordance with state-specific submission deadlines and Molina enrollment guidelines and requirements.
- Identify and assist current members due to recertify health care coverage by completing annual recertification applications, including adding additional eligible family members.
- Respond to prospective member inquiries according to marketing guidelines.
- Follow applicable health plan rules and regulations for member enrollment.
- Participate in assigned events and community outreach projects with other agencies for a minimum of eight hours per week.
- Establish and maintain working relationships with external business partners, including hospital and provider organizations, city agencies, and community-based organizations where enrollment activities are conducted.
- Develop and strengthen relationships to generate new opportunities.
- Attend community health fairs, events, and external meetings as required.
- Attend occasional weekend or evening special events as needed.
- Travel locally as required.
Desired Qualifications
- Previous experience enrolling members in managed care programs or health insurance.
- Bilingual ability in Spanish and English.
About the company
Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.
Company Size
10,001+
Company Stage
IPO
Headquarters
Long Beach, California
Founded
1980
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Simplify's Take
What believers are saying
- Illinois continuity gained ground: June 2026 brought an intended Molina Medicaid contract award for four-and-a-half years.
- Recovery has a higher target: Molina raised adjusted earnings guidance to $5.25 per share in July 2026.
- Career development has a named route: Molina's Pathways to Success helps staff navigate careers across the organization.
What critics are saying
- Profits remain under pressure: Molina reported a 76% quarterly net income decline in July 2026.
- Margins are fragile: Molina estimates one additional medical spending percentage point cuts 2025 earnings per share by $6.20.
- Remote still means travel: Molina's California site review nurse role requires field visits three to four days weekly.
What makes Molina Healthcare unique
- Pharmacy work goes outside: Molina outsources drug benefits administration to CVS Caremark.
- Wisconsin work includes long-term care: Molina's My Choice Wisconsin runs Family Care and Partnership programs.
- Connecticut retains a local brand: Molina owns ConnectiCare, a health plan focused on the state.
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Benefits
- Health Insurance
- 401(k) Retirement Plan
- Remote Work Options
- Paid Vacation
- Flexible Work Hours
- Wellness Program
- Mental Health Support
- Conference Attendance Budget
- Professional Development Budget
- Phone/Internet Stipend
- Home Office Stipend
- Family Planning Benefits