ACA Production Lead

WVU Medicine; Morgantown, Northern (WV, KY); On-site; USD 65,000 - 90,000; Full time

Job summary

PHH Peak Health Holdings is seeking an ACA Production Lead to oversee end-to-end production of marketplace plans, ensuring CMS/ACA compliance and coordinating with internal and external partners in West Virginia. The role emphasizes recruitment, engagement, and coaching of agents and agency leaders.

Ideal candidates will have ACA sales experience, WV licenses, and a track record of developing sales strategies and broker relationships while driving production and retention across enrollment

Qualifications

• Associate's degree in business or healthcare required.
• Two years of sales or healthcare experience with ACA and an active WV insurance license.
• Ability to develop sales strategies and partner with agents/brokers.

Responsibilities

• Achieve sales targets, with emphasis on Open Enrollment Period goals.
• Maintain and grow RTS agent participation and relationships with agents.
• Develop and deliver training programs for agents and leaders.
• Collaborate with internal teams on events, programs, and initiatives.
• Lead broker/agency engagement and retention initiatives.

Skills

Sales experience

ACA knowledge

CRM proficiency

Relationship building

Training delivery

Education

Associate's degree in business or healthcare

Tools

Microsoft Office

Job description

Welcome! We're excited you're considering an opportunity with us! Below, you'll find other important information about this position. Peak Health is growing into the ACA Marketplace line of business. The ideal candidate will have strong sales experience and expertise in ACA sales channels, operations, and coaching and developing key Agent and Agency leaders. This position will focus on recruitment, engagement, successful sales strategies, and serving as the primary resource for ACA-related questions and guidance. The ACA (Affordable Care Act) Production Lead will be responsible for overseeing the production and operational aspects of our marketplace plans. This role involves managing the end-to-end production process, ensuring compliance with CMS standards and ACA requirements, and collaborating with internal and external partners to optimize efficiency, production, and overall effectiveness.

Minimum Qualifications

• Associate's degree in business or healthcare related field AND Two (2) years of sales or healthcare related experience with ACA.
• Active State and Life Health Insurance License in WV.

Preferred Qualifications

• Five (5) years of ACA Sales Experience, preferably working with an early-stage ACA plan.
• Two (2) years Proven ability to develop strong relationships with industry stakeholders to include but not limited to brokers, agents, community partners, clinic management and FMO partner(s).
• Demonstrated experience developing and implementing sales strategies, business plans, and agent engagement initiatives.

Core Duties and Responsibilities

• Achieve established sales targets throughout the year, with an emphasis on Open Enrollment Period (OEP) goals.
• Increase and maintain Ready-to-Sell (RTS) agent participation throughout the year in alignment with established goals.
• Maintain and grow relationships with selling agents year after year, with a focus on production and retention.
• Implement sales training programs through in-person and virtual delivery methods.
• Partner closely with Program Manager on designated supplemental vendor programs and related tasks.
• Manage Daily Lead Assignments and ensure timely follow-up, outreach, and closing activity.
• Develop and maintain positive-growing relationships with Agents and Agency Leaders.
• Develop and facilitate "Train the Trainer" programs to support consistent agent education and development.
• Establish and execute business planning strategies with agents around key enrollment periods.
• Partner closely with internal teams and stakeholders on designated events, programs, and initiatives.
• Maintain accountability of Clinic Attendance and agent compliance with established requirements.
• Develop and implement strategies focused on agent force retention and Agent's Book of Business (BOB) growth and retention.
• Work closely with Operations Lead on certain tasks, initiatives, and projects.
• Support the Manager and Director with assigned sales and retention initiatives; both internally and externally.
• Support and encourage Self-Generated sales activity with agents, with focus on customer acquisition and retention.
• Perform additional duties and support business needs as assigned.

Physical Requirements

• Ability to sit, stand, walk, and use standard office equipment for extended periods.

Working Environment

• Standard office environment.
• Travel throughout West Virginia is required for meetings, trainings, community outreach, and agency support.

Skills & Abilities

• Strategic thinking and attention to detail around sales and retention.
• Working knowledge of ACA Marketplace regulations and compliance requirements.
• Demonstrated ability to build and maintain relationships.
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook).
• Ability to work in a fast-paced environment.
• Understanding of the ACA sales process.
• Experience working with Customer Relationship Management (CRM) system.
• Strong attention to detail, organization, and thoroughness, with a demonstrated commitment to continuous process improvement.
• Ability to learn quickly, adapt to new content, and demonstrate knowledge of the ACA and Medicare industries.

Additional Job Description

• Scheduled Weekly Hours: 40
• Shift: Exempt/Non-Exempt
• United States of America (Exempt)
• Company: PHH Peak Health Holdings
• Cost Center: 2501
• PHH Risk Admin Address: 1085 Van Voorhis Road Morgantown West Virginia
• Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.