Outreach Customer Service Representative, Cattaraugus/Allegany Counties

Company:  Demo - Maximus
Location: New York
Closing Date: 23/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description

About Maximus

Maximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve.

About New York Medicaid Choice

New York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice.  We're proud that over the past twenty years NYMC has grown and expanded across the state.  To date, we have helped millions of New Yorkers access the health services that best fit their needs.  We're proud to meet our mission of Helping Government Serve the People through this program.

About the Position

If you're looking for more than a job and want to grow in the healthcare industry, then this is the position for you. We're hiring a Customer Service Representative II for Cattaraugus and Allegany Counties. We are looking for an individual who is passionate about helping their community, interested in learning, and taking part in public health services, and is growth-oriented. This position provides face-to-face, telephonic, and possibly virtual enrollment and outreach services to New York Medicaid recipients. This is a position with growth opportunity in a supportive work environment. If you thrive in an independent position where you can make a positive impact on the lives of others, then this is the place for you.

This position is office-based in Cattaraugus and Allegany Counties

Position Summary

  • Conducts face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices
  • Assists clients with the enrollment/disenrollment process
  • Interfaces with HRA or LDSS county staff and maintains professional and positive relationships with all HRA, LDSS staff, community groups, and clients
  • Conducts appointments to assist CYES Program eligible consumers complete their Medicaid application.
  • Conducts phone outreach to assist consumers with plan enrollment
  • May conducts shadowing / training activities with new hires
  • May receive, sort, and process enrollment/transfer and disenrollment forms
  • May review enrollment forms for accuracy and completeness
  • May be assigned one or more of the following processing tasks:
    • Data Entry/Data Entry QC
    • UAS
    • RL
    • Manual Notice production
    • Exemption and Exclusion
    • HPA/SPU
    • Certified Application Counselor (CAC)
  • Maintains updated knowledge of the New York Medicaid Choice Project
  • Raises issues of concern and/or problems to the Outreach operations Supervisor and/or Manager

What You'll Bring

  • Prior work experience in customer service, data entry and/or processing
  • Willingness to provide site coverage of neighboring sites is required; may be transferred to another site within the region
  • Proficiency in Microsoft Office applications as Excel, Power Point, and Word
  • Knowledge of population served
  • Positions outside of NYC require a vehicle, valid driver’s license and insurance
  • Must reside in State of New York
Job Summary Education and Experience Requirements

Essential Duties and Responsibilities:
- Conduct one-on-one and group outreach presentations to recipients and community members.
- Present program education and enrollment options to recipients.
- Present managed care options to recipients and assist them in using their health care and dental plans.
- Maintain positive relationships with county staff, state agencies, community groups and recipients.
- Complete direct data entry into designated internal automated systems in accordance with project policies and procedures.
- Conduct outreach including phone calls, home visits and community presentations in the field in accordance with project policy and procedures (75% of the time).
- Establish and maintain knowledge of community and participates in community events, health fairs, and other activities as needed.
- Assist other Outreach Counselors and other team members with management and completion of daily duties.
Minimum Requirements:
- High School diploma or equivalent with 6 months - 2 years of experience.

MAXIMUS Introduction
Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit
As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment. EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.
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