Medicare Sales Manager Jobs

Experience in Pharmacy Benefit Management and/or Health Insurance

Exceptional organizational, project management and time management skills

8 years of experience in business development, business to business sales or sales support

Exceptional communication and relationship development skills both internally and externally

Excellent business development acumen, critical thinking and customer orientation skills

Conduct ongoing business development activities to build a pipeline of prospective sales within existing and in new sales channels

Keep alert to competitive products and marketing practices, and to keep management informed concerning them

Understand the covered benefits, non-covered benefits, exclusions and exemptions

Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product

Disclosures and provisions of the Advantage Medicare product

Develop a presence in the local community to help generate enrollments

Conduct home visits and personalized appointments as needed to complete the enrollment process

Keep alert to competitive products and marketing practices, and to keep management informed concerning them

Understand the covered benefits, non-covered benefits, exclusions and exemptions

Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product

Disclosures and provisions of the Advantage Medicare product

Develop a presence in the local community to help generate enrollments

Conduct home visits and personalized appointments as needed to complete the enrollment process

Project management background or certification a plus

6 or more years of experience working in the insurance industry

2 or more years of sales leadership experience

Strong organizational, interpersonal, communication and presentation skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job

Ability to work both independently and in a team environment and relate to all levels of staff and management and education

2+ years’ experience training in a professional capacity; ATD certification preferred

Manage virtual and face-to-face in classroom training environment effectively; administer learning activities

Manage existing learning material and LMS and participate in revamping and redeployment

Train and coach managers, team leaders and others involved in employee development efforts

Bachelor’s Degree in a related field or the recognized equivalent in work experience

Keep alert to competitive products and marketing practices, and to keep management informed concerning them

Understand the covered benefits, non-covered benefits, exclusions and exemptions

Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product

Disclosures and provisions of the Advantage Medicare product

Develop a presence in the local community to help generate enrollments

Conduct home visits and personalized appointments as needed to complete the enrollment process

Respond to emails throughout the day from providers, other schedulers, and upper management in a timely manner

2-3 years outbound call center experience (scheduling experience preferred) and /or customer service experience. Demonstrates positive customer service behaviors

Inbound call center experience is a plus

1 year direct sales experience, over the phone preferred

 1-2 years’ experience of health care related work, sales preferred

Experience with insurance verification portals

Develops metrics and reports for management and executive management use.

A minimum of 8 years of related experience preferred

Experience developing and executing marketing strategies and programs.

Experience leading cross-functional teams to achieve program objectives.

Strong analytical and problem solving skills.

Strong composition, editing, and proofreading skills.

Income protection benefits: life insurance, Short- and long-term disability programs;

Additional voluntary benefits available; and

The essential functions listed represent the major duties of this role, additional duties may be assigned.

Develop and maintain a Medicare Sales Operations Integrity plan and KPIs that align to CMS marketing and sales related practices

Work closely with sales channel leaders and their teams to collect and share data that strengthens compliant outcomes

Collect, analyze and report on data from various Sales activities to identify potential risk

Provides direct consumer education about the VNS Health MAP, MAPD or DNSP products.

Participates in special projects and performs other job duties as required.

Experience marketing to a culturally diverse target population required.

Excellent verbal and written communication skills, including the ability to speak in front of large groups required.

Achieves monthly and annual membership goals.

Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.

Provides direct consumer education about our health plans MAP, MAPD or DNSP products.

Participates in special projects and performs other job duties as required.

Achieves monthly and annual membership goals.

Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.

Performs retention efforts developed by department leadership to reduce member turnover.

Develops, plans and executes health fairs and presentations to key community organizations.

Maintains awareness of field sales operations and competitor climate. Provides feedback and highlights potential problems or issues to management.

Assists management with deployment of Sales RVs (Recreational Vehicles) and suggests potentially successful locations.

Provides direct consumer education about VNS Health MAP, MAPD, or DNSP products.

Experience Marketing To a Culturally Diverse Target Population Required

Achieves monthly and annual membership goals.

Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Spearheads development and implementation of compliance policies and procedures and training programs for the Molina enterprise.

Oversees and provides direction of site visits for regulatory audits and coordinates corrective action plan, as needed.

Investigates and resolves compliance problems, questions, or complaints received internally or from customers/agencies.

Demonstrate technology literacy in support of sales presentation and lead management

We offer a true ‘sales culture’ where top performers are recognized and rewarded.

In depth product and sales training offered.

Attractive benefit package including health benefits, 401k plan, paid family leave, vacation days, paid holidays & employee discounts at CVS stores.

Minimum of 3 years of successful consumer sales experience within the Health Insurance Industry

Active Health, Life, Medicare supplement License & CMS Required Certification

Any combination of education and experience, which would provide an equivalent background

Health or managed care experience

Requires a BA/BS degree in a related field and a minimum of 2 years of related experience(Or)

Strong strategic managed care understanding for Medicare Advantage, Medicaid, Commercial and chronic complex populations

Extensive knowledge of CMS, NCQA regulatory guidelines

Exceptional communication skills (verbal and written) and executive presence

Experience with Healthcare, Pharmacy Network, and Pharmacy Benefit Management industries, Medicaid/Medicare Part D, and CMS regulations.

Experience applying analytical and troubleshooting skills to claims administration operations.

Experience establishing rapport with internal operational teams as well as stakeholders and clients via interpersonal skills.

8+ years of experience in Pharmacy Claim Operations, including 4+ years of supervisory experience.

Experience working with SQL and Excel tools.

Excellent oral and written communication skills.

Identify and qualify new provider partnership opportunities, submitting required forms to Solis Sales Management for consideration by leadership

Customize sales presentations to communicate product features, benefits and differences

Comply with CMS regulations and guidelines, marketing and enrollment requirements

1-3 years' experience in the Medicare Advantage Plans line of business; 5+ years preferred

Strong organizational, interpersonal, communication and presentation skills

Comprehensive knowledge of Microsoft Office

Identify and qualify new provider partnership opportunities, submitting required forms to Solis Sales Management for consideration by leadership

Customize sales presentations to communicate product features, benefits and differences

Comply with CMS regulations and guidelines, marketing and enrollment requirements

1-3 years' experience in the Medicare Advantage Plans line of business; 5+ years preferred

Strong organizational, interpersonal, communication and presentation skills

Comprehensive knowledge of Microsoft Office

Identify and qualify new provider partnership opportunities, submitting required forms to Solis Sales Management for consideration by leadership

Customize sales presentations to communicate product features, benefits and differences

Comply with CMS regulations and guidelines, marketing and enrollment requirements

1-3 years' experience in the Medicare Advantage Plans line of business; 5+ years preferred

Strong organizational, interpersonal, communication and presentation skills

Comprehensive knowledge of Microsoft Office