Senior Care Outside Sales - Essex and Middlesex Counties - Vietnamese
Listed on 2025-12-01
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Healthcare
Healthcare / Medical Sales
Overview
Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Fallon Health’s Navi Care is a program for people age 65 and older, who live in our service area, and who have Mass Health Standard, and may have Medicare. It combines Mass Health (Medicaid) and Medicare benefits, including prescription drug coverage.
Fallon Health embraces and encourages differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE—in the region.
Brief summary of purpose: This position requires that the Account Executive achieves personal referral and outreach goals for the Navi Care program. Manages a territory and group of referral source accounts, providing regular follow up and overcoming barriers with each account to meet enrollment goals.
Responsibilities- Creates productive and collaborative relationships with internal and external referral sources in order to obtain qualified referrals and enrollments for the Navi Care program.
- Participates in all community outreach activities, such as senior fairs, community events, and elder services professional association events to ensure Fallon Health’s visibility and presence in your territory.
- Presents the Navi Care program to groups who are likely prospects, caregivers and community referral sources.
- Develops and implements their own territory business development plan and carries out activities to penetrate accounts listed on the plan.
- Works collaboratively with Navicare enrollment team to discuss progress of referrals and ideas for resolving issues.
- Provides inservice orientations to vendors and providers on an annual basis.
- Shows accountability and follows up with prospects until the lead is closed/withdrawn and document as appropriate. Achieves monthly referral and home visit request goals
- Generates sufficient Navi Care enrollment applications to meet monthly enrollment goals.
- Explains the Navi Care program clearly and consistently to prospects and their families to ensure that prospects enroll with a solid understanding of the program maintaining a low disenrollment rate. Meets with Navi Care prospects in their homes.
- Completes application and other documentation needed.
- Submits all completed applications in a timely manner as required by CMS.
- Documents all sales activities in the department’s CRM application and account management grid in a timely manner.
- Meets weekly sales activity deliverables consistently, and tracks these in the CRM and their Outlook calendar.
- Maintains records of Navi Care applications and documentation related to scope of appointments.
- Regularly reviews effectiveness of efforts against goals. Provides market intelligence to the Navi Care/ Manager and the Outreach Director so that adjustments can be made to tactical plans.
- Manages their own professional development by seeking advice, training, and coaching from their colleagues, manager, and the Director of Outreach.
- Operates within the marketing and outreach guidelines and regulations provided by CMS and EOHHS.
- Retains Scope of Appointment and other Enrollment Records.
- Submits information on Navi Care prospect events to Outreach Support in a timely manner, for CMS submission.
- When in doubt, asks questions pertaining to compliance or privacy regulations.
- Must meet monthly, quarterly and year end enrollment goals.
- Must maintain a minimum number of activities and events designed to generate leads for enrollments.
- Must keep up to date all records related to leads in CRM system, Account Management Grid and any other report requested by your manager.
- Must have at minimum 10 actively referring accounts.
- Must work to develop at least 10 new accounts every month.
- Must attend all required Department and collaborating Department…
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