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Field Health Benefit Rep, Bilingual – Health Navigator
Centene Corporation. Educate and assist individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in educating individuals about health insurance options, including eligibility for public programs and premium tax credits, while providing culturally appropriate assistance. Proficient in community outreach and public speaking, with a strong focus on compliance and maintaining confidentiality.
Highest-signal resume keywords
Bilingual South Asian LanguagesPublic Speaking ExperienceCAC CertificationExperience with MS Office SuiteSalesforce Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health Insurance EnrollmentEligibility ExplanationDocument Submission AssistanceActivity TrackingData Entry into CRM
Soft Skills
Culturally Appropriate AssistanceCommunication SkillsCustomer Service SkillsCommunity Outreach
Tools & Technologies
Fidelis Digital ToolsMember PortalMobile AppCRM
Certifications & Qualifications
High School Diploma or GEDCAC Certification
Industry Keywords
Affordable Care ActManaged CarePublic ProgramsCommunity EventsField Sales
About the role
Key responsibilities & impact- Educate and assist individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace
- Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions
- Teach members about Fidelis digital tools, including the member portal and mobile app
- Describe plan features, benefits, deductibles, co-pays, co-insurance, and Marketplace metal tiers
- Assist consumers with submitting required documents via scan, fax, or mail
- Support existing members with renewals and recertifications
- Help consumers with premium payment submissions when required
- Provide culturally and linguistically appropriate assistance
- Conduct public education activities and presentations
- Participate in ACA forums, workshops, and community events
- Maintain daily activity tracking and monitor personal dashboards for timely follow-up
- Follow up on enrollment leads and consumer inquiries and record dispositions in the CRM
- Enter applicant demographic, enrollment site, and PCP selection data into the CRM
- Maintain compliance with conflict-of-interest, privacy, security, ACA, regulatory, and Fidelis Care standards
- Secure confidential information and protect PHI from unauthorized access
- Participate in required trainings, updates, webinars, and forums
- Complete annual Marketplace Facilitated Enroller recertification requirements
- Perform other assigned duties
- Provide 100% community field-based travel supporting Queens County, New York
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Highly preferred bilingual South Asian languages: English/Bengali, Hindi, Urdu, Arabic, Gujrati
- Must have a High School Diploma or GED
- 2+ years of prior experience in managed care, sales, customer service or related experience preferred
- Must have basic computer skills
- Must have prior Public Speaking experience
- Driver's License mandatory for non-NYC counties
- Must complete and pass the NY State of Health approved training program and become certified
- Must complete all required annual recertification courses/learnings
- Required to work evenings and weekends
- CAC Certification preferred
- Experience with MS Office Suite and Salesforce highly preferred
- Community outreach, front-facing sales, sales/field sales, prospecting, tabling, and events experience highly preferred
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules