PACE Enrollment Specialist
PACE Enrollment Specialist
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Job Description
Position Summary:
Responsible for communicating the benefits of San Diego PACE (Program of All Inclusive Care for the Elderly) in order to drive productivity via monthly enrollments. Achieves agreed upon monthly enrollment targets and outcomes within schedule. Duties include but not limited to: engaging PACE enrollment prospects initial screening and coordination of new participants into the San Diego PACE program.
Essential Functions of the Job:
- Resultsdriven Business Development Representative with excellent interpersonal skills to actively seek out and engage PACE enrollment prospects.
- Understand and promote PACE services to prospective participants. Excellent negotiation and communication skills. Ability to create and deliver presentations tailored to the audience needs.
- Establish develop and maintain positive business and customer relationships throughout the PACE enrollment process.
- Reach out to customer leads through telephonic and/or inperson meetings in order to expedite the resolution of customer problems and complaints to maximize likelihood of a successful enrollment.
- Consistently achieve agreed upon monthly enrollment targets and outcomes within schedule.
- Conducts San Diego PACE program eligibility screening intake education and enrollment assistance activities to initially determine participant needs and eligibility for enrollment.
- Coordinates with potential participants and/or their families to conduct initial screenings and assessments for potential participants.
- Completes appropriate documentation related to participant assessments as required.
- Coordinates communications of eligibility decisions approvals or disapprovals with participant or their family members.
- Participates in outreach and marketing activities in conjunction with the PACE Marketing Manager.
- Collects and data enters the daily referral intake enrollment marketing and outreach activities notes with submission of weekly and monthly reports to PACE Enrollment Manager.
- Provide tours of PACE center(s) to interested family members potential participants community partners and providers.
- Highly motivated excellent selling negotiation and communication skills. Superb interpersonal skills including the ability to quickly build rapport with potential enrollees.
Additional Duties and Responsibilities:
- Work independently and as effective member of the team.
- Able to work comfortably in a fast paced environment.
- Ability to balance persuasion with professionalism.
- Strong organizational skills.
- Able to adjust outreach and enrollment strategies as necessary based on data analysis.
- Highly motivated and target driven.
- Familiarity with CRM practices.
- Establish and maintain effective interpersonal relationships with all levels of staff other departments agencies providers and the general public.
- Complies with all department organization and government policies & procedures.
- Attends meetings and trainings as required.
- Adheres to and models SYH core values and behaviors of Excellence Empowerment Integrity and Respect.
- Adheres to SYH and PACE attendance and punctuality policies and practices.
- Performs other related duties as assigned or requested.
Job Requirements:
Education required:
- Bachelors degree in business or a related field OR 3 years of related work experience
Experience Required:
- Proven work experience as a Business Development Representative.
- Proven success rate at levels above quotas.
Experience Preferred:
- One year of MediCal Medicare managed health care eligibility or senior related sales.
- Working with the frail or elderly population is a plus.
Certifications/Licenses:
- CA drivers license with appropriate automobile insurance required.
- Must take and pass the State of California DHCS PACE and MediCal Marketing Certification exam within 60 days of hire.
Verbal and Written Skills to Perform the Job:
- Must be able to communicate effectively and comfortably in public forums.
- Prepare concise and clear reports on marketing and outreach.
Technical Knowledge and Skills to Perform the Job:
- Good knowledge of Microsoft Word applications including Excel Access and Power Point.
- Computer data entry analysis and reporting experience is required.
- Knowledge of electronic health data systems including EPIC is preferred.
Competencies:
- Demonstrated ability to be culturally sensitive and respect diversity
- Work effectively with individuals of different cultures and socioeconomic status
- Passion for service
- Selfstarter and highly organized
- Ability to prioritize and complete a large volume of work within strict time deadlines
- Provide prompt efficient and responsive customer service.
Equipment Used:
- Computers phones personal vehicle copy machines fax machines and other general office equipment.
Working Conditions and Physical Requirements:
- Busy PACE Center and clinic environment serving the frail elderly with medium to loud noise levels and controlled office temperatures.
- May be required to lift up to 30 lbs. stand and walk frequently indoors and outdoors; setup/take down outreach equipment.
- Will be required to travel to other sites or other locations within San Diego County.
- Will be required to work some evenings and/or weekends.
Universal Requirements:
Preemployment requirements include I9 physical positive background and reference check results complete application new hire orientation preemployment PPDs.
About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality compassionate accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later San Ysidro Health now provides innovative care to over 108000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our missiondriven team! San Ysidro Health has a longstanding commitment to equal employment opportunity for all applicants for employment. Employment decisions including but not limited to those such as employee selection performance evaluation administration of benefits working conditions employee programs transfers position changes training disciplinary action compensation and separations are made without regard to race color religion (including religious dress and grooming) creed national origin nationality citizenship status domestic partnership status ancestry gender affectional or sexual orientation gender identity or expression marital status civil union status family status age mental or physical disability (including AIDS or HIVrelated status) atypical heredity cellular or blood trait of an individual genetic information or refusal to submit to a genetic test or make available the results of a genetic test military status veteran status or any other characteristic protected by applicable federal state or local laws.
Other details
- Pay TypeHourly
- Min Hiring Rate$25.99
- Max Hiring Rate$33.75
- Travel RequiredYes
Required Experience:
Unclear Seniority
Employment Type
Hourly
