Medicare Outside Sales Representative

The Medicare Outside Sales Representative is a top performing membership growth agent responsible for identifying educating and enrolling prospective Medicare Advantage (MA) beneficiaries in the appropriate MA plan based on prospects needs and qualifications. The Outside Sales Rep explains program benefits in a manner that is compliant with the Center for Medicaid and Medicare Services (CMS) and company policies and regulations.

This role will come with challenging goals and targets as part of a competitive sales incentive plan designed to reward top performers. This individual must be goal oriented and an expert at grassroots marketing to create new sales locations and penetrate geographies and markets where HF holds lower market penetration. The Outside Sales Rep must be able to generate their owns leads through myriad marketing activities. They must possess a deep understanding of and extensive experience in organizing sales activities to engage prospective members in diverse communities.

The Outside Sales Rep will collaborate closely with the Delivery Services Engagement (DSE) team that works with innetwork clinical providers to promote Healthfirst and ensure visibility ultimately increasing market share.

The Outside Sales Rep will also be responsible for driving retention efforts so that Healthfirst members maintain consistent health insurance coverage to avoid gaps or disruptions in care.

Duties & Responsibilities:

• Drive membership growth by acquiring new members while also meeting aggressive retention targets.
• Work directly with communitybased organizations providers sales locations and other sources to develop selfgenerated referral channels resulting in increased enrollments.
• Identify potential members and design plans to educate them on the available benefits plans and features that are tailored to the members needs and eligibility.
• Live Healthfirsts mission of Members are our North Star to ensure that our goal and activities are guided by member needs and preferences.
• Ensure a superior customer experience through consistent and timely service followup and plan benefit reviews.
• Ensure the right member is in the right plan.
• Deliver effective sales presentation to consumer groups individual prospects and community or provider partners.
• Determine and recommend (and/or partner on) to Community Engagement to organize events within the territory including but not limited to health fairs holidaythemed eventsprovider sponsored events as well as healthrelated theme events.
• Partner with DSE for scheduling face to face meetings with Hospitals IPAs and community providers to engage education and identify related issues. Inform DSE of related issues andappropriately follow up with updates when needed.
• Strictly adhere to all CMS regulations and Healthfirst marketing guidelines.
• Ensure all documentation is complete comprehensive clear appropriately filled out including Application Application Confirmation Form Scope of Appointment and Application Submission Form and Salesforce.
• Provide competitive intelligence to management on any activities Healthfirsts market competitors are engaging in: e.g. marketing approach branding campaign new designs or benefit changes.
• Develop and present strategic and tactical business acquisition plans for implementation throughout the year.
• Assist with corporate initiatives related to Medicare quality or STAR ratings i.e. HRAs/FPL/MSP.
• Successfully pass audit (educational and marketing) exams.
• Additional duties as assigned.

Work Location

The Outside Sales Rep will work at locations they develop within their designated territory or they may need to visit prospects homes.

Minimum Qualifications & Experience

• High School Diploma or GED Equivalent
• Experience in a health plan sales role in the New York City market with a record of consistently producing maximum results in a compliant manner
• Ability to manage travel time and territory efficiently including simultaneously monitoring multiple marketing locations
• Ability to collaborate with internal stakeholders and support teams for crossreferral and joint promotions
• Ability to use technology and tools including Salesforce and Tableau for prospect/member record keeping and lead management
• Active participation in continued professional development activities
• Ability to travel throughout the New York City area
• Ability to work majority of time outside of HF offices with little direct supervision
• Strong interpersonal and collaboration skills
• Must have good organizational skills
• Ability to communicate effectively orally and in writing
• Must have a valid and unexpired NY Health & Accident License

Preferred Qualifications

• Proof of valid drivers license and insurance
• Associates or Bachelors degree
• Bilingual a plus

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race color religion gender gender identity sexual orientation national origin age genetic information military or veteran status marital status mental or physical disability or any other protected Federal State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment please contact us by sending an email to or calling. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the email address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid @healthfirst email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst or not one of our recruitment partners please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY NJ CT residents): $67200 $97155

• All Other Locations (within approved locations): $59800 $88910

As a candidate for this position your salary and related elements of compensation will be contingent upon your work experience education licenses and certifications and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary Healthfirst offers employees a full range of benefits such as medical dental and vision coverage incentive and recognition programs life insurance and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire or for a job promotion or transfer into this role.