Medicare Field Sales & Community Agent ​/ 1006937935

• Location 1240 S LOOP RD,Alameda, CA, ,United States
• Base Pay $83,241.60 - $ / Year
• Employee Type Full Time

Hybrid : Applicants must be a California resident as of their first day of employment.

The Medicare Field Sales & Community Agent is responsible for compliantly achieving established monthly, quarterly, and annual Medicare Advantage (D-SNP) new enrollment and retention goals. Consistently enrolling self-generated, Partner generated, and company generated Medicaid conversion and marketing leads is essential to this role’s success. The agent must work in collaboration with their team members and other Alameda Alliance for Health (AAH) department personnel to develop and execute an effective growth and retention strategy.

A key part of that strategy will require them to work effectively and leverage relationships with providers, community organizations, and other influencers. Their engagement will take the form of participation in or sponsorship of local community events, individual provider co-marketing programs, and targeted member outreach activities in conjunction with community partners.

Medicare Field Sales & Community Agent will report to the Manager, Medicare Sales and Retention. The incumbent will be assigned specific responsibilities as determined by their manager based on opportunities identified related to product offerings, geographic or other market segmentation criteria.

The agent will be expected to generate new enrollments and achieve established retention targets through consistent and thoughtful member and prospect engagement activities. The agent must consistently complete proven “best practice” based activities to develop and manage their territories and/or assignments and provide regular status reporting at predetermined intervals via the sales departments established activity and performance tracking system. The agent will be expected to comply with all CMS, DMHC, and DHCS guidelines and quickly report any potential issues to their manager or Chief Compliance Officer.

Principle responsibilities include:

• Expected to consistently meet or exceed established performance standards across the following key areas:
• Production:
  Achieve a minimum of 60 enrollments per month, which equates to an average of three (3) enrollments per working day, based on a standard 20-day work month. Monthly targets may be adjusted to account for holidays, approved time off, or business needs.
• Quality:
  Maintain a minimum 85% quality adherence score on a monthly basis as measured by internal quality review standards, including accuracy of application submissions and adherence to sales protocols.
• Regulatory Compliance:
  Demonstrating a minimum of 85% adherence to all applicable federal and state regulations including CMS Medicare Marketing Guidelines and California specific requirements per month. This includes accurate, ethical, and compliant representation of all Medicare products and services.
• Putting the member or prospective members needs first and assisting them in their efforts to enroll with AAH via whatever channel best meets their needs, i.e. face-to-face, online, group setting, telephonic.
• Responsible for professionally representing AAH Medicare D-SNP programs in the market to all members, prospects, providers, and partners.
• Assisting prospective members in their efforts to understand AAH’s products, services, mission, and unique value proposition.
• Work with internal staff, providers and community partners to create or participate in programs to engage, educate, and enroll existing AAH Dual Eligible Medi-Cal members.
• Provide staffing and support for member retention activities organized by the sales department or any of the Alliance’s other departments.
• Consistently evaluate their activities in relationship to established sales and marketing CMS and compliance guidelines.
• Program requirements, including validation of data and internal controls.
• Provide market-level feedback to their sales and marketing leaders related to the competitive landscape.
• Understand how to use all core sales systems, i.e. lead and sales funnel management, weekly reporting, expense management, etc.
• Work…