The SWH Outreach Representative follows up on sales leads and information requests for potential participants; assists potential members in the application process; submits applications for processing; arranges for and conducts community outreach activities, and; participates in retention programs.
Assists potential members in the application process, adhering to all standards and requirements set forth in the SCO contract.
Provides information and answers to all questions from potential members regarding benefits, rights and responsibilities, and plan operations.
Meets and reviews monthly sales-related goals and objectives.
Completes all required documents;
Coordinates and relays information to SWH staff related to the pre-enrollment process;
Employs lead generation and follow up according to SWH standards.
Maintains ongoing knowledge of changes to Medicare and Medicaid regulations and their impact on daily operations.
Self-reports any potential violations of federal, state or company regulations and guidelines.
Identifies and organizes community outreach activities to spread awareness of coverage option(s).
Outreach Representatives collaboratively develop enrollment goals and/or enrollment referrals on a monthly basis. As a percentage of overall monthly and ongoing growth, these goals are directly related to the revenue stream for the company.
Bachelors Degree preferred.
4+ years of Medicare and Medicaid sales, enrollment and business development experience
Proficient in Microsoft office and other Windows-based applications
1-3 years experience with Managed Long Term Care.
Significant knowledge and experience with members who have nursing home-level of care
Ability to identify market and customer trends, identifying potential solutions.
Ability to create and nurture relationships with key providers and health agencies.
Strong presentation and sales skill sets.
Bi-lingual Spanish strongly preferred.
90% of time will be associated with travel.
Must have reliable transportation or use of NYC transit system.
Senior Whole Health - 20 months ago
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