Senior Care Outside Sales - Essex and Middlesex Counties - Vietnamese

Navicare Account Executive - Essex and Middlesex Counties

Navicare Account Executive - Essex and Middlesex Counties role at Fallon Health

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality.

Overview

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.

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.

• Relationship Building:
  Creates productive and collaborative relationships with internal and external referral sources in order to obtain qualified referrals and enrollments for the Navi Care program.
• Community Outreach:
  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 Navi Care:
  Presents the Navi Care program to groups who are likely prospects, caregivers and community referral sources.
• Territory Planning:
  Develops and implements their own territory business development plan and carries out activities to penetrate accounts listed on the plan.
• Lead Generation:
  Works collaboratively with Navicare enrollment team to discuss progress of referrals and ideas for resolving issues; provides in-service orientations to vendors and providers on an annual basis; shows accountability and follows up with prospects until the lead is closed/withdrawn and documents as appropriate; achieves monthly referral and home visit request goals.
• Secure Applications:
  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 understanding and a low disenrollment rate; meets with Navi Care prospects in their homes; completes and submits all required documentation in a timely manner as required by CMS.
• Tracking & Reporting:
  Documents all sales activities in the department’s CRM application; meets weekly sales activity deliverables; maintains records of Navi Care applications and related documentation.
• Assessment:
  Regularly reviews effectiveness of efforts against goals and provides market intelligence to the Navi Care/Manager and Outreach Director; seeks professional development and coaching.
• Regulatory Guidelines:
  Operates within CMS and EOHHS guidelines; retains Scope of Appointment and other enrollment records; submits information on Navi Care prospect events in a timely manner for CMS submission; adheres to compliance and privacy regulations; meets enrollment goals monthly, quarterly, and yearly; maintains required activity levels and lead generation efforts; maintains CRM and reports; develops at least 10 new referring accounts per month and attends required meetings.

Education

• BS or BA degree and/or comparable experience

Experience

• Knowledge and experience working with community organizations, low income communities and the elderly
• 3 years of sales experience in healthcare or group insurance strongly preferred
• Proven experience in a customer-facing role focused on sales and lead generation in a fast-paced environment
• Knowledge of Medicare, Medicaid and insurance products is desirable
• Knowledge of customer service, sales, outreach and marketing principles
• Possession of a valid Mass. driver’s license and a vehicle for marketing activities and home visits

Equal Opportunity

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• Mid-Senior level

• Full-time

• Sales and Business Development

• Insurance

Referrals increase your chances of interviewing at Fallon Health by 2x