Responsible for promoting and selling the Health Plan Medicare Advantage products with a focus on the Dual-Eligible Special Needs Plan (D-SNP) market.
Educate prospective members about Medicare and Medi-Cal programs.
Ensure compliance with Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) regulations.
Drive enrollment growth within the San Joaquin, Stanislaus, Alpine and El Dorado County communities.
Develop and execute a strategic sales plan to drive Medicare enrollments, with a strong emphasis on the D-SNP population.
Conduct one-on-one and group sales presentations to Medicare-eligible individuals, caregivers, and community organizations.
Build and maintain strong relationships with community partners, providers, and key stakeholders to identify and support eligible individuals.
Attend and host community outreach events, health fairs, and informational sessions to generate leads and increase awareness.
Maintain accurate records of sales activities, leads, and enrollments in compliance with regulatory guidelines.
Provide exceptional customer service and follow-up to ensure high member satisfaction and retention.
Requirements
Bachelor’s degree or equivalent work experience required
At least 2 years’ experience with Medicare
At least 2 years' experience in consulting or sales
Strong understanding of Medicare, Medi-Cal, CMS, and DHCS regulations.
Knowledge of Medi-Cal and Medicare
Familiarity with CMS and DHCS compliance regulations regarding Medi-Cal and Medicare sales and marketing requirements.
Must convey outstanding listening and interpersonal skills and have the ability to effectively prioritize and execute tasks in a high-pressure environment and support strong customer service orientation.
Must exhibit mastery experience in a team-oriented, collaborative environment as a self-starter with ability to work effectively with minimal direct supervision.
Interpersonal skills
interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
Strong oral and written communication skills, with the ability to effectively communicate complex technical issues in terms clearly understood by technical and non-technical audiences and write technical specifications.
Exemplifies excellent organizational, written, and verbal communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
Ability to speak and be understood in English.
Ability to handle confidential information with appropriate discretion.
Ability to write and speak Spanish
will be tested.
Benefits
Competitive salary
Robust and affordable health/dental/vision with choices in providers
Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
CalPERS retirement pension program, automatic employer-paid retirement contributions, in addition to voluntary defined contribution plan