AmeriHealth Caritas Responsibilities: in Philadelphia, Pennsylvania

Responsibilities:

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The Medicare Captive Sales Agent is responsible for growing Medicare Advantage enrollment volume by targeting Medicare beneficiaries that have dual eligible status (Medicare and Medicaid) while adhering to all mandates set forth in the CMS marketing and compliance guidelines as well as in the company policies and procedures. The sales representative will conduct one-on-one sales meetings and house calls as well as work in the field with key providers, local government agencies, community leaders, community based organizations, and others serving the dually-eligible population. Key responsibilities will include attending community events and health fairs to promote product education and awareness for the dual eligible population. This individual will become a familiar and trusted figure in the communities of the AMFC service area. A main goal of this position will be to promote retention and minimize rapid disenrollment by providing accurate, consistent and timely service and follow up. All sales activities must be properly documented and entered into the AMFC database in a timely and compliant manner. The sales agent will also track all marketing and sales activities, as well as update and maintain results in SalesForce.com.

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Education/Experience:

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  • Associate’s Degree.

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  • Bachelor’s Degree Preferred.

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  • Strong communication and interpersonal skills.

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  • Experience working with the specific population (dual eligible, Medicaid, Medicare).

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  • Ability to generate leads from referrals and local strategic research and prospecting.

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  • Ability to clearly explain the benefits offered by AMFC’s D-SNP plan in a manner that ensures beneficiaries understand eligibility requirements, the Medicare review/approval process of their enrollment application, timing of ID card receipt, etc.

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  • 2-3 years with a Medicare Advantage DSNP Product.

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  • Will work closely with network providers to identify and educate potential members and participate in provider promotional activities.

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  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

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  • Proficiency in Microsoft Office.

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  • Ability to work independently.

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  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

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  • Must have a valid Driver’s license and mode of transportation.

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  • Must have a Accident and Health Insurance license in PA.

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There are 8 positions total.

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Medicare Captive Sales Agent

Location: Philadelphia, PA

Telecommuter?: Yes

ID**: 13997

Job Brief

Responsible for growing Medicare Advantage enrollment

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us atwww.amerihealthcaritas.com.

Responsibilities:

The Medicare Captive Sales Agent is responsible for growing Medicare Advantage enrollment volume by targeting Medicare beneficiaries that have dual eligible status (Medicare and Medicaid) while adhering to all mandates set forth in the CMS marketing and compliance guidelines as well as in the company policies and procedures. The sales representative will conduct one-on-one sales meetings and house calls as well as work in the field with key providers, local government agencies, community leaders, community based organizations, and others serving the dually-eligible population. Key responsibilities will include attending community events and health fairs to promote product education and awareness for the dual eligible population. This individual will become a familiar and trusted figure in the communities of the AMFC service area. A main goal of this position will be to promote retention and minimize rapid disenrollment by providing accurate, consistent and timely service and follow up. All sales activities must be properly documented and entered into the AMFC database in a timely and compliant manner. The sales agent will also track all marketing and sales activities, as well as update and maintain results in SalesForce.com.

Education/Experience:

  • Associate’s Degree.

  • Bachelor’s Degree Preferred.

  • Strong communication and interpersonal skills.

  • Experience working with the specific population (dual eligible, Medicaid, Medicare).

  • Ability to generate leads from referrals and local strategic research and prospecting.

  • Ability to clearly explain the benefits offered by AMFC’s D-SNP plan in a manner that ensures beneficiaries understand eligibility requirements, the Medicare review/approval process of their enrollment application, timing of ID card receipt, etc.

  • 2-3 years with a Medicare Advantage DSNP Product.

  • Will work closely with network providers to identify and educate potential members and participate in provider promotional activities.

  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

  • Proficiency in Microsoft Office.

  • Ability to work independently.

  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

  • Must have a valid Driver’s license and mode of transportation.

  • Must have a Accident and Health Insurance license in PA.

There are 8 positions total.

EOE Minorities/Females/Protected Veterans/Disabled