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Healthfirst · 19 hours ago

Medicare Outside Sales Representative

New York, NY

Full-time

Onsite

Mid Level

$69K/yr - $100K/yr

Healthfirst is a healthcare organization seeking a Medicare Outside Sales Representative responsible for driving membership growth by identifying, educating, and enrolling prospective Medicare Advantage beneficiaries. The role involves collaborating with community organizations and ensuring compliance with CMS regulations while delivering a superior customer experience.

Commercial InsuranceHealth CareHealth InsuranceInsurance

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

Additional duties as assigned

Qualification

Health plan sales experienceSalesforce proficiencyNew York City market knowledgeTableau proficiencyNY Health & Accident LicenseInterpersonal skillsOrganizational skillsEffective communicationCollaboration skills