MLTC Referral and Enrollment Specialist (Bilingual- Bengali) - Healthfirst

The  Marketing Specialist contributeideas for identifying new referral sources, as well as, identify referral sources within their territory of responsibility whose mission and needs are focused on the frail adult and their Managed Long-term Care (MLTCP) / Medicaid Advantage Plus (MAP) needs. The Marketing Specialist II market and develop referral relationships with the goal of keeping the Company and their Partners highly visible as an option for long-term care delivery. This position reports to the Marketing Manager and covers a territory throughout NYC and surrounding counties (the five boroughs, Westchester and Nassau) as needed. Occasional overtime and weekend hours may be required.

Manage a broad base of agencies, services, and professionals as referral sources. Responsible for scouting new providers and referral sources, while meeting departmental guidelines. Must meet monthly referral goal per department guidelines. This includes:

• Obtaining weekly designated Licensed Home Care Services Agencies (LHCSA), Certified Home Health Agency (CHHA), Naturally Occurring Retirement Communities (NORC) and Federally Qualified Health Center (FQHC) referrals.
• Reviewing and tracking potential referral sources (such as Social Workers or Clinics).
• Following-up with internal staff for potential referrals and/or sources
• Assisting with the research and identification of organizations in assigned geographic area that provide health and social services to the frail adult population
• Coordinating presentations independently and without prompting for internal and external management.
• Using Excel and other internal applications to track and report on referral sources as needed.
• Discerning cultural differences and needs of assigned communities.

Territory Management

• Manages multiple providers within geographic area, for constant interaction with all.
• Participates in and creates various community related activities such as health fairs/screenings and informational seminars on long term care.
• Maintains a network log of all providers to track dates visited and referrals generated from each.
• Meets minimum expectations of required provider visits based on departmental guidelines.
• Maintains and demonstrates knowledge of all product lines to educate providers and consumers and pass recurrent examinations per compliance and regulatory requirements.
• Follows up on all leads via excel and intranet-based programs.
• Works with internal departments to verify and report back to providers on status of all leads.
• Communicates all updates to managers and providers.
• Creates and updates PowerPoint presentations as needed that provide corporate overview and attract potential new providers/clients.

Minimum Qualifications

• High School Diploma or GED Equivalent
• Knowledge of Medicaid/Medicare or Managed Long Term Care (MLTC) product lines.
• An understanding of the values of Integrated Care.
• Existing field sales background and experience working with minimal supervision.

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): $57,408 - $76,960

• All Other Locations (within approved locations): $49,795 - $72,800

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.