Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Jessy Varela

Medford

Summary

Results-driven professional with extensive experience supervising enrollment activities in healthcare settings. Expertise in coaching new hires and conducting audits, ensuring compliance and operational efficiency. Aiming to leverage strong communication skills to enhance team performance.

Overview

18
18
years of professional experience

Work History

Supervisor Marketplace Facilitated Enroller

Affinity by Molina Healthcare
Bronx
03.2018 - 08.2024
  • Supervised enrollment activities over the phone or in person through onsite coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s).
  • Conduct Daily/Weekly/ Monthly audits to all applications prior to submitting to NYSOH marketplace.
  • Participate in health-related activities, special events, including evening and weekend activities.end activities. Events include health fairs, parades, holiday theme events, trade show expos, hospital orientations, provider sponsored events and health related theme events as required based on business needs.
  • Supervised new hires on how to keep an accurate and effective book of business (BOB) for all encounters and leads on a daily basis, while adhering to the BOB policies and procedures.
  • Complete the annual NYSOH marketplace recertification requirement, annual Corporate Compliance, and Sexual Harassment Training requirements, and any required training from the City Department of Health (CDOH) or Human Resources Administration (HRA).stration (HRA). Understand and implement the Plan's policies and procedures for the facilitated enrollment and renewal process.

Facilitated Marketplace Enroller Specialist

Affinity Health Plan
Bronx
12.2006 - 03.2018
  • Conducted outreach programs to educate members about available services.
  • Participate in weekly, bi-weekly, and monthly staff meetings, one-on-one meetings with management, as well as required training sessions.
  • Engage in enrollment activities over the phone or in person through onsite coverage at hospitals, provider offices, City agencies, community business partners, and Community Based Organizations (CBOs).
  • Complete and review all applications prior to submitting them to the NYSOH marketplace.
  • Assist members with selecting a high-quality primary care physician (PCP), ordering member ID cards, and making monthly premiums.
  • Establish and maintain good working relationships with external business partners, such as hospital and provider organizations, City agencies, small businesses, and Community-Based Organization personnel, where enrollment activities are conducted. Develop and strengthen relations in order to generate new opportunities for Affinity by Molina Helathcare, including new sites and event requisitions.
  • Maintain current working knowledge of product benefits, formulary, sales system functionality, policies and procedures.
  • Demonstrate working knowledge of regulatory and corporate guidelines.
  • Must stay abreast on changes to all lines of business to ensure sales business practices are in compliance with Regulatory, marketing guidelines, and overall corporate policies.

Education

Bachelor of Science - Marketing

Stony Brook University
Stony Brook, NY
05-2016

Skills

  • Employee training
  • Time management
  • Goal oriented
  • Team leadership
  • Coaching and mentoring
  • Processes and procedures
  • Conflict resolution
  • Event coordination
  • Problem solving
  • Effective communication

Languages

English
Professional
Spanish
Native/ Bilingual

Timeline

Supervisor Marketplace Facilitated Enroller

Affinity by Molina Healthcare
03.2018 - 08.2024

Facilitated Marketplace Enroller Specialist

Affinity Health Plan
12.2006 - 03.2018

Bachelor of Science - Marketing

Stony Brook University

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