Community Outreach Representative (COR)

WVU Medicine; Northern (KY); On-site; USD 42,000 - 66,000; Full time

Job summary

Peak Health is a growing Medicare Advantage plan seeking a Community Outreach Representative to build trusted relationships in the community. The COR will create lead opportunities, schedule events, and collaborate with internal and external partners to drive acquisition and retention outcomes.

The role emphasizes strong relationship-building, attention to detail in scheduling, and a hands-on approach to opportunities within the community across sales, retention, and education.

Qualifications

• Associate's degree in healthcare, business, marketing or related field AND two years of Medicare Advantage experience OR High School Diploma or equivalent AND four years of Medicare Advantage experience.
• Valid Driver’s License

Responsibilities

• Develops and maintains favorable relationships with community organizations.
• Plans and facilitates outreach activities and events to generate quality sales leads and awareness.
• Coordinates event logistics and distributes materials in collaboration with marketing.
• Builds relationships with community influencers and gatekeepers to support sales efforts.
• Ensure compliance with Medicare marketing guidelines and regulations.
• Deliver Medicare educational presentations at community events.
• Track results and ROI of local marketing efforts.

Skills

Relationship building

Event coordination

CRM proficiency

MS Office

Attention to detail

Education

Associate's degree

High School Diploma or equivalent

Tools

CRM system

Microsoft Office

Job description

Peak Health is a new, growing Medicare Advantage plan in West Virginia.

The Community Outreach Representative is the trusted member in the field representing Peak Health within our communities.

The Community Outreach Representative (COR) will build trusting relationships, be a resource for Peak Health Medicare programs, create lead opportunities that gain successful acquisition/retention outcomes and ensure locations are being scheduled to meet monthly goals.

As a key member of our Medicare team, the COR will play a crucial role within the community along with partnerships both internal and external. They will be responsible for helping to establish the relationships and results that drives our growth.

The ideal candidate will have a strong relationship building skill along with key contacts within the WV area already established specifically around Medicare. Additionally, the candidate will demonstrate excellent attention to detail and accuracy with scheduling events and will have a roll‑up their sleeves mentality around our opportunity within the community for both sales, retention, and education.

We are growing fast and ready to service our West Virginia residents. And we have just begun. So, join us on this mission to Peak!

MINIMUM QUALIFICATIONS

• Associate's degree in healthcare, business, marketing or related field AND Two (2) years of experience related to Medicare Advantage OR High School Diploma or equivalent AND Four (4) years of experience related to Medicare Advantage
• Valid Driver’s License

PREFERRED QUALIFICATIONS

• WV State Health Insurance License in good standing
• Two (2) years in a Medicare Experience (Both Medicare Advantage and DSNP) space working with strong relationships with the Medicare industry to include but not limited to community partners, gatekeepers, provider relationships and key influencers within the community.
• DSNP (Dual Special Needs) experience

CORE DUTIES AND RESPONSIBILITIES

• Develops and maintains a favorable relationship with the surrounding community organizations.
• Plans and facilitates outreach activities, special events, and presentations to generate quality sales leads in support of the health plan’s sales and membership growth goals and increase awareness of the health plan’s presence in the community year round, but more emphasis around AEP timeframe.
• Coordinates event logistics including reserving space, communication, distributing materials, facilities support and coordination with marketing to support proper advertisement of events.
• Builds relationships with community influencers and gatekeepers to venues where Peak Health Medicare Sales Agents can prospect and be a part of the senior population.
• Ensure market comprehension and adherence to Medicare marketing guidelines and compliance regulations.
• Assist Sales/Production Lead with certain programs with our External Agent Force around Sales & Retirement.
• Deliver Medicare educational presentations at community events.
• Work with provider groups for co-op marketing.
• Track results and ROI on local marketing and efforts within the community.
• Collaborate with internal and external stakeholders to achieve intended results.
• Work closely with Director of Medicare around certain Sales and Retention programs.
• Determines type of event as defined by CMS and files events appropriately with CMS based on the Managed Care Marketing Guidelines.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

WORKING ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Standard office environment
• Travel within WV primarily will be required to offsite meetings along with coverage in PA state as well

SKILLS AND ABILITIES

• Strategic thinking and attention to detail around relationships, sales & retention
• Strong Teamwork ethics with internal team along with agent force in field
• Knowledge of regulations governing Medicare Advantage and DSNP sales
• Demonstrated ability to build and maintain relationships.
• Proficiency with Microsoft Office
• Ability to work in a fast-paced environment. Understanding of the Medicare Advantage sales process Experience working with a CRM system.
• Strong attention to detail, organized and thorough with a desire for continuous process improvements.
• Extremely fast learner can pick up new content quickly and has knowledge of the Medicare industry and with DSNP population.

Additional Job Description

Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center: 2913 PEAK Medicare Operations

Thank you for your interest in working for WVUM. The West Virginia University Health System is West Virginia’s largest health system and largest private employer, providing care to communities across West Virginia, Maryland, Ohio, and Pennsylvania. The integrated academic health system includes 25 hospitals and five institutes, with more than 3,500 licensed beds, 4,000 clinicians, 39,000 employees, and $8.5 billion in annual operating revenues. Anchoring the system in Morgantown, West Virginia, are WVU Hospitals, an 880-bed academic medical center, and the 150‑bed WVU Medicine Golisano Children’s Hospital. Together, the Health System’s hospitals, clinics, and specialty programs provide a comprehensive continuum of care, ranging from community-based primary and specialty services to highly complex, quaternary care and post‑acute care.