Medicare MAP Advisor

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

JOB SUMMARY: The Medicare MAP Advisor will promote and sell MAP and Medicare Line of Business, maintain relationships, service existing customers, and secure new customers by consultative selling/marketing and performing all required tasks assigned by the Sales Field Manager.

MAP Advisor

Primary Responsibilities:

• Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in-home care and Long-term care services,
• Care Managers who will manage day-to-day needs,
• Care adjustment to help members stay home,
• No need for referrals

Candidate Requirements:

• Active NYS Health and Accident license
• AHIP certified
• Computer/technology literacy
• Compliant with CMS and CPHL policies.
• Follow CPHL, CMS, and state guidelines relative to MAP including all enrollment procedures
• Developing and maintaining relationships, leads, and new business.
• Being a presence in the community and point of contact for current members
• Active listening and recommend plans and enroll prospects based on the customer’s needs
• Provide a positive customer experience with excellent customer satisfaction
• Ensure prospects are enrolled properly and all internal external processes are followed
• Update customer file in Case Tracker with summary of interaction
• Interact with internal departments to ensure meeting deadlines for all documentation requirements.
• Have a relationship with LHCSA’s
• Develop and nurture relationships with prospective members, community leaders, owner hospitals, community partners, and current business partners.
• Ensure individual enrollment quotas are met based on tenure.
• Attend all Sales Meetings and gatherings.
• Submit daily Plan of Action, Mid-day, and End-of-day Reports.
• Maintain a professional image both on clothing attire and marketing locations.
• Position responsibilities encourage working weekends and require frequent travel to various CPHL sites located throughout the five (5) boroughs.

Territory Management

• Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple marketing locations and events.
• Require the ability to carry marketing table, materials, give-away items, and boxes.
• Require a proactive approach to searching for additional marketing locations while adhering to company regulatory guidelines.

Compliance

• Require continues education to stay abreast on all recent changes in regulations, recent training sessions, changes in workflow, and changes to company benefits.
• Must score favorably in all post and ongoing quizzes, refresher training, and administrative audits.
• Must be prepared when summoned by the Special Investigation Unit.

Technology

• Must be able to adapt to various software used by CPHL, maintain an electronic book of business, research participating providers, and communicate with internal departments via Microsoft Outlook.
• Is responsible for safeguarding all equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan.

Enrollment application process

• Ensure prospective members are enrolled properly and all internal and external processes are followed.
• Ensure all documentation relative to the applications is attached (i.e., Application, Application Confirmation Form, Scope of Appointment, and Application Submission Form).
• Enter all information into your book of business.
• Ensure supporting documentation is provided to all new enrollees (i.e., Copy of Application, copy of Application Confirmation Form, Low Income Subsidy (LIS) Letter, before you go document, and a Summary of Benefit).

Customer Service

• Ensure any/all concerns are addressed and resolved within a reasonable time frame and/or directed to the appropriate party.

Retention

• Ongoing communication outreach to membership; including but not limited to 30, 60, 90-day outreach to ensure member satisfaction.

Other Duties And Responsibilities

• Keep management abreast on any recommendation that can make a workflow or process more efficient.
• Keep an open line of communication with the Site Development business unit.
• Keep management abreast on any activities CPHL MAP and Advantage Care Medicare HMO Plan competitors are engaging in.
• Work in a concerted manner with Provider Relations/Network Development and communicate to them any providers that we should attempt to recruit.
• Ensure Provider Relations/Network Development Representatives are abreast on any outstanding issues relative to any of our participating providers.

EDUCATION AND EXPERIENCE:

Education

Minimum Qualifications:

• High School Diploma or GED.

Type Of Experience

• Must have at least 1 year of sales experience or relevant experience.
• Knowledge of Corporate emails (such as Outlook, Excel), MS Word, and Internet Explorer.

Specific Technical Skills

• Great communication skills and collaboration skills.
• This is a field-based position.…