Position Summary:
The primary responsibility of a Medicare Member Specialist is to develop and execute SanitasPlus strategies to increase Medicare membership in a specific demographic or geographic area. The Medicare Member Specialist is responsible for creating and maintaining relationships with key stakeholders such as community organizations, and insurance agencies and brokers (FMOs & CGAs) to facilitate enrollment of eligible
individuals into SanitasPlus Senior care model and Medicare programs.
Essential Job Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Executing a comprehensive marketing and outreach plan to increase Medicare enrollment in the assigned area.
2. Building and maintaining relationships with healthcare providers, community organizations, and government agencies to increase awareness about SanitasPlus Medicare programs and benefits.
3. Participating in community events, health fairs, and other outreach opportunities to promote SanitasPlus Medicare enrollment.
4. Providing education and counseling to potential enrollees about SanitasPlus healthcare programs and other Medicare savings programs.
5. Conducting needs assessments to identify barriers to complete SanitasPlus Medicare enrollment and developing strategies to overcome those barriers.
6. Tracking and reporting on enrollment activity and outreach and events outcomes to leadership and other stakeholders.
7. Collaborating with other agents and teams to ensure coordination and consistency in outreach efforts.
8. Must be able to meet specific Leads creation and patient retention goals as outlined by the Membership Manager and Leadership.
9. Reports productivity as established by the Membership Manager.
10. Ability to explain and talk about SanitasPlus value proposition, Senior services and care model to originate leads and answer questions from members and employees.
11. Assist the Area Business Development Managers with questions, enrollments and completeness of member information
12. Work extended hours and weekends when needed at both indoor/outdoor locations.
13. Teamwork oriented and goal driven
14. Work on special projects as assigned
15. Maintains and improves quality results by adhering to standards and guidelines,
recommending improved procedures.
16. Other duties as assigned
Qualifications
Required Education and Experience:
The ideal candidate should have excellent communication and interpersonal skills, be able to work independently, have strong organizational and problem-solving skills, and be comfortable with using technology. They should also have a good understanding of Medicare policies and programs, local healthcare systems, and cultural competency. Experience in marketing, sales, or community outreach, especially in the healthcare field, would be an added advantage.
- High School Graduate or equivalent
- Intermediate Technology Skills
- 1+ years of Customer Service skills and training
- 1+ years of experience in the medical field.
- Bilingual English/Spanish
- Any combination of education, training, and experience which demonstrates the ability to perform the duties and responsibilities as described including related work experience.
- Capacity to maintain confidentiality and work independently in support of the department
Preferred Education and Experience:
1. Experience with Medicare Advantage and Medicare regulations
2. Healthcare insurance knowledge
3. Experience with Medical offices
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Holidays
- Monday to Friday
- Weekends as needed
Application Question(s):
- What are your salary expectations?
- Do you speak fluent English and Spanish?
- Do you have experience with Medicare eligibility enrollments?
Ability to Relocate:
- Orlando, FL: Relocate before starting work (Required)
Work Location: On the road