Covered California Community Partner (Sales)
CalOptima · Orange, CA · 6 days ago
Sales$58k–$90k/yrFull-time
About the role
The Team You'll Join
We are a mission-driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.
Responsibilities
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Prepares and conducts presentations or provides information to potential and targeted members, physician groups, community-based agencies, health networks, vendors and providers.
- Prepares and provides effective orientations and educational presentations.
- Maintains documentation of member cases within the CalOptima Health system.
- Works with Case Management and Customer Service staff to expedite the resolution of member concerns.
- Maintains departmental productivity standards with respect to enrollment and disenrollment goals.
- Maintains accurate records and documentation.
- Enrolls CCA members into CalOptima Health's programs only (e.g., no appointments allowed to outside CCA plans or to sell any other products).
- Interacts with medical groups to ensure coordination of joint marketing events.
- Participates in special events and fairs outside of regularly scheduled work hours, including evenings and weekends.
Requirements
- A high school diploma or equivalent PLUS 3 years of experience working with the needs of persons with disabilities in an enrollment capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position may also be qualifying.
- A valid driver's license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation, will be required for work away from the primary office 50% of the time or more.
- Experience in CCA as an agent or broker.
- Experience working with people in a customer or member service capacity.
- HMO, Medi-Cal/Medicaid and health services experience.
- Contact informational systems experience.
- Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).
Qualifications
- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.