Medicare Field Sales & Community Agent/ Job Req 990175045

Principal Responsibilities

• Compliantly achieve established monthly, quarterly, and annual Medicare Advantage (D-SNP) new enrollment and retention goals.
• Consistently enroll self-generated, Partner generated, and company generated Medicaid conversion and marketing leads.
• Work in collaboration with team members and other Alameda Alliance for Health (AAH) department personnel to develop and execute an effective growth and retention strategy.
• Engage effectively and leverage relationships with providers, community organizations, and other influencers through participation in or sponsorship of local community events, individual provider co-marketing programs, and targeted member outreach activities in conjunction with community partners.
• Generate new enrollments and achieve established retention targets through consistent and thoughtful member and prospect engagement activities.
• Complete proven “best practice” based activities to develop and manage territories or assignments and provide regular status reporting at predetermined intervals via the sales department’s established activity and performance tracking system.
• Comply with all CMS, DMHC, and DHCS guidelines and quickly report any potential issues to their manager or Chief Compliance Officer.
• Practice good time and territory management behaviors to ensure maximum performance.
• Work independently and effectively in a deadline-driven environment.
• Adhere to all company policies and procedures relative to employment and job responsibilities.

Essential Functions of the Job

• Contacts: Manage the enrollment application process for all new members as established by Sales Leadership, CMS, and the Compliance Department.
• Work closely with Broker Agencies to recruit, train, and motivate them to enroll members, if applicable.
• Conflict resolution: When member or prospect issues arise, respectfully capture the available information and quickly relay it to appropriate AAH department and personnel.
• Member Communications: Provide feedback and collaborate with the appropriate department related to current materials or share insights or information on any changes that could improve the member’s experience.
• Computer: Utilize the existing systems provided by the organization to capture, track, and report on all activities or information needed to ensure we continue to improve the experience of AAH members, partners, providers, and the community.
• Comply with the organization's Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.
• Assumes responsibility and exercises good judgement in making decisions within the scope of authority of the position.
• Provides support to the Project Management Office (PMO) and various enterprise-wide activities based on availability.
• Organizes and facilitates sales project-related meetings, as necessary.
• Works effectively independently as well as part of a team and supports team decisions.
• Adapts to changes in requirements/priorities for daily and specialized tasks.
• Produces accurate and precise work, detects discrepancies, and resolves discrepancies all while meeting deadlines.