Medicare Outside Sales Rep

Duties & Responsibilities

• Drive membership growth by acquiring new members while also meeting aggressive retention targets.
• Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased enrollments.
• Identify potential members and design plans to educate them on the available benefits plans and features that are tailored to the member’s needs and eligibility.
• Live Healthfirst’s mission of “Members are our North Star” to ensure that our goal and activities are guided by member needs and preferences.
• Ensure a superior customer experience through consistent and timely service, follow-up, and plan benefit reviews.
• Ensure the right member is in the right plan.
• Deliver effective sales presentation to consumer groups, individual prospects and community or provider partners.
• Determine and recommend (and/or partner on) to Community Engagement to organize events within the territory including but not limited to health fairs, holiday-themed events, provider sponsored events as well as health-related theme events.
• Partner with DSE for scheduling face to face meetings with Hospitals, IPA’s, and community providers to engage, education and identify related issues. Inform DSE of related issues and appropriately follow up with updates when needed.
• Strictly adhere to all CMS regulations and Healthfirst marketing guidelines.
• Ensure all documentation is complete, comprehensive, clear, appropriately filled out including Application, Application Confirmation Form, Scope of Appointment and Application Submission Form, and Salesforce.
• Provide competitive intelligence to management on any activities Healthfirst’s market competitors are engaging in: e.g. marketing approach, branding campaign, new designs or benefit changes.
• Develop and present strategic and tactical business acquisition plans for implementation throughout the year.
• Assist with corporate initiatives related to Medicare quality or STAR ratings- i.e. HRAs/FPL/MSP.
• Successfully pass audit (educational and marketing) exams.