Healthfirst

The Medicare Sales Specialist is a position for top performing Medicare Sales Agents in the NY market. The individual is responsible for identifying prospective Medicare Advantage (MA) beneficiaries, self- generating leads, educating and enrolling beneficiaries in the appropriate MA plan by explaining program benefits in a manner that is compliant with the Center for Medicaid and Medicare Services (CMS) and company policies and regulations. This role will come with a higher quota and a competitive sales incentive plan. This individual will be goal oriented and an expert at self-generating sales activities and possess a deep understanding and extensive experience in community engagement and grassroots marketing. S//he will customarily and regularly work away from Healthfirst’s place of business. The Sales Specialist will collaborate closely with the Delivery Services Engagement team that works with providers, to identify provider related issues, address and resolve these issues as well promote Healthfirst to ensure visibility and increase market share. The Sales Specialist will also be responsible for driving retention efforts so that Healthfirst members maintain health insurance coverage, and ensure there are no gaps in coverage.

Duties & Responsibilities:

• Drive membership growth by acquiring new members while also meeting aggressive retention targets.
• Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased enrollments.
• Identify potential members and design plans to educate them on the available benefits plans and features that are tailored to the member’s needs and eligibility.
• Live Healthfirst’s mission of “Members are our North Star” to ensure that our goal and activities are guided by member needs and preferences.
• Ensure a superior customer experience through consistent and timely service, follow-up, and plan benefit reviews.
• Ensure the right member is in the right plan.
• Deliver effective sales presentation to consumer groups, individual prospects and community or provider partners.
• Determine and recommend (and//or partner on) to Community Engagement to organize events within the territory including but not limited to health fairs, holiday-themed events, provider sponsored events as well as health-related theme events.
• Partner with DSE for scheduling face to face meetings with Hospitals, IPAs, and community providers to engage, education and identify related issues.  Inform DSE of related issues and appropriately follow up with updates when needed.
• Strictly adhering to all CMS regulations and Healthfirst marketing guidelines.
• Ensure all documentation is complete, comprehensive, clear, appropriately filled out including Application, Application Confirmation Form, Scope of Appointment and Application Submission Form, and Salesforce.
• Provide competitive intelligence to management on any activities Healthfirst’s market competitors are engaging in: i.e., marketing approach, branding campaign, new designs or benefit changes.
• Develop and present strategic and tactical business acquisition plans for implementation throughout the year.
• Assist with corporate initiatives related to Medicare quality or STAR ratings- i.e., HRAs//FPL//MSP.
• Successfully pass audit (educational and marketing) exams.
• Additional duties as assigned.

  Work Location

  • The Outside Sales Rep will work at locations they develop within their designated territory, or they may need to visit prospects’ homes.  

    Minimum Qualifications:

    • At least five years in a health plan sales role in the New York City market with a record of consistently producing maximum results in a compliant manner
    • High School Diploma or GED Equivalent
    • Ability to manage travel, time, and territory efficiently, including simultaneously monitoring multiple marketing locations
    • Ability to collaborate with internal stakeholders and support teams for cross-referral and joint promotions
    • Ability to use technology and tools including Salesforce and Tableau for prospect//member record keeping and lead management
    • Active participation in continued professional development activities
    • Ability to travel throughout the New York City area
    • Ability to work majority of time outside of HF offices with little direct supervision
    • Strong interpersonal and collaboration skills
    • Must have good organizational skills
    • Ability to communicate effectively orally and in writing
    • Must have a valid and unexpired NY Health & Accident License
    • Proof of valid driver’s license and insurance (depending on territory)

      Preferred Qualifications:

      • Associate or bachelor’s degree
      • Bi-lingual