Medicare Enrollment Sales Representative II

About the role

Under varying degrees of supervision, identifies qualified Medicare participants and educates them as to the benefits of selecting MetroPlus as a managed care provider. Achieves predetermined monthly enrollments based on regularly updated goals and objectives, documents consumer contracts, and processes grievances. Moreover, maintains a positive public relations presence within the community, provider agencies, and with city and state regulatory agencies. Additionally, may provide training of and/or supervision to subordinate staff. There are three Assignment Levels within this class of positions; all personnel perform related work.

Responsibilities

• Implements methods, activities and action plans necessary to achieve daily, weekly and monthly objectives.
• Presents clear and accurate information regarding health plan to eligible recipients and community-at-large.
• Performs group and individual presentations for purpose of educating and enrolling qualified participants in a variety of arenas including but not limited to senior centers, provider sites, churches, assisted living facilities, nursing homes, etc.
• Provides all benefit/service related information to members, applicants, and providers.
• Performs telemarketing activities as appropriate for purposes of enrollment and follow-up activity.
• Processes all member demographic changes.
• Maintains accurate documentation related to enrollment and field activities.
• Participates in regularly scheduled sales/marketing meetings as required.
• Performs other related tasks as directed.
• May act as preceptor to subordinate Enrollment Sales Representatives to facilitate their understanding of MetroPlus objectives, operations and site specific information.
• Implements and monitors appropriate methods, activities and action plans necessary to regularly achieve accelerated predetermined enrollment objectives.
• Ensures appropriate and accurate documentation of call center plan enrollments and field activities.
• Provides assistance and facilitates communications to sales/customer services management team.
• Participates in bi-weekly and monthly sales/marketing meetings.
• Performs related duties as directed.

Requirements

• Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department.
• Possession of a High School diploma or evidence of having satisfactorily passed a High School Equivalency Program.
• Satisfactory completion of training and orientation administered by MHP personnel.
• One year of experience in direct consumer contact, sales and/or social services; or a satisfactory equivalent combination of education, training, and experience.
• All incumbents must possess the required licensure as described above.
• For appointment to Level II: one year of experience in Assignment Level I or one additional year of experience as described above.
• For appointment to Level III: one year of experience in Assignment Level II or two additional years of experience as described above.

Qualifications

• Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department must be maintained to remain in this position.
• Possession of a valid New York State Drivers License may be required.
• The use of this position is restricted to MetroPlus only.

Skills

• Knowledge of a second language may be required.