Sr Community Outreach Representative - Bristol

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Health

Who We Are

Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

Job Summary

Educate and be highly visible in the 65+ community to promote Point
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Health, Senior Care Options Plan (Point
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Health SCO) and its benefits that lead to the enrollment of new members. Education will be given to prospects and their caregivers, Community Health Centers, Providers, local Elder Services, Councils on Aging, Housing Authorities, Senior Centers, and SHINE Counselors. The primary objective of this position is to identify prospective SCO-eligible members, explain the features and benefits of the plan in an assigned territory/marketplace, and assist with enrollment into the plan.

Successful candidates generate leads from a variety of sources including networking, account management, grassroots sources as well as from member referrals.

Key Responsibilities

• Effectively present the Point
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  Health SCO Program and its benefits to the 65+ Mass Health populations residing in the community.
• Meet or exceed enrollment goals within an assigned territory; use a full sales mix of outreach and sales activities; conduct group and/or individual sales presentations and enroll eligible prospects on site as often as possible.
• Perform lead generation through community-based activities and develop partnership-based relationships with providers, community-based organizations, senior housing, senior centers, advocacy agencies, etc.; conduct sales meetings, in-homes, conversion meetings, lead meetings, special events, and regular business reviews with accounts.
• Perform lead follow-up and qualification calls to interested individuals to explain the purpose and benefits of Point
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  Health SCO and scheduling home visits to meet with prospects.
• Maintain lead tracking and a sales database for all activity and interactions; submit completed enrollment applications in a timely basis.
• Coordinate and develop relationships with key community groups to enable Point
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  Health SCO participation in community-sponsored events.
• Represent Point
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  Health SCO at community or company-sponsored events to promote the company and the plan, raise awareness, network, and generate leads.
• Develop and implement a business plan within the assigned territory; provide weekly activity plans, result summaries, and monthly expense reports.
• Know provider networks (physician, hospital, and pharmacy) within assigned territories; maintain knowledge of competitor products in the market.
• Represent Point
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  Health SCO in a manner consistent with company values and the departmental Code of Ethics; adhere to company policies and CMS and EOHHS guidelines.
• Complete required certifications, licensing, continued education, policy acknowledgments, and work plans within deadlines; complete AHIP and any additional required training.
• Perform other duties as necessary and assigned.

Qualifications – What You Need To Perform The Job

• Education:
  
  Required:
  
  High school diploma. Preferred:
  Bachelor’s degree in a related field.
• Experience:
  
  Required:
  
  3-5 years of professional experience. Preferred: 3-5 years of experience selling Medicare Advantage products or relevant sales with a track record of success.
• Skills:
  
  Experience in community-based sales and marketing; ability to make public presentations and network to generate leads; strong consultative selling and presentation skills;…