Community Outreach Representative (COR)

WVU Medicine; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Peak Health is seeking a Community Outreach Representative to advance Medicare Advantage initiatives in West Virginia. You’ll build trust with community groups, schedule events, and generate leads while ensuring compliance with Medicare guidelines.

Travel within WV and some PA coverage are required; strong relationships with local partners are essential. Ideal candidates have 2+ years Medicare Advantage experience and ready-to-roll in a fast-growing team focused on sales, retention, and

Qualifications

• Associate’s degree in healthcare, business, marketing or related field plus two years Medicare Advantage experience
• Or High School Diploma and four years Medicare Advantage experience
• Valid Driver’s License

Responsibilities

• Develops and maintains a favorable relationship with surrounding community organizations.
• Plans and facilitates outreach activities, special events, and presentations to generate quality sales leads.
• Coordinates event logistics including reserving space, communication and materials, with marketing support.
• Builds relationships with community influencers and gatekeepers to venues for prospecting.
• Ensure Medicare marketing guidelines and compliance regulations are followed.
• Assist Sales/Production Lead with External Agent Force programs around Sales & Retention.
• Deliver Medicare educational presentations at community events.
• Work with provider groups for co-op marketing.
• Track results and ROI on local marketing efforts.
• Collaborate with internal and external stakeholders to achieve results.
• Work closely with Director of Medicare on Sales and Retention programs.
• Determine event type per CMS definitions and file with CMS guidelines.

Skills

Relationship building

Event scheduling

Attention to detail

CRM system

MS Office

Education

Associate’s degree in healthcare, business, marketing or related field

High School Diploma or equivalent

Driver’s License

Tools

CRM system

MS 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 internally and externally. 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** :**

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. 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

1. Valid Driver’s License.

PREFERREDQUALIFICATIONS** :**

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. WV State Health Insurance License in good standing

EXPERIENCE:

1. 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.

2. DSNP (Dual Special Needs) experience

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Develops and maintains a favorable relationship with the surrounding community organizations.

2. 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.

3. Coordinates event logistics including reserving space, communication, distributing materials, facilities support and coordination with marketing to support proper advertisement of events.

4. 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.

5. Ensure market comprehension and adherence to Medicare marketing guidelines and compliance regulations.

6. Assist Sales/Production Lead with certain programs with our External Agent Force around Sales & Retention.

7. Deliver Medicare educational presentations at community events.

8. Work with provider groups for co-op marketing.

9. Track results and ROI on local marketing and efforts within the community.

10. Collaborate with internal and external stakeholders to achieve intended results.

11. Work closely with Director of Medicare around certain Sales and Retention programs.

12. 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.

1. 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.

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

SKILLS AND ABILITIES:

1. Strategic thinking and attention to detail around relationships, sales & retention

2. Strong Teamwork ethics with internal team along with agent force in field

3. Knowledge of regulations governing Medicare Advantage and DSNP sales

4. Demonstrated ability to build and maintain relationships.

5. Proficiency with Microsoft Office

6. Ability to work in a fast-paced environment. Understanding of the Medicare Advantage sales process Experience working with a CRM system.

7. Strong attention to detail, organized and thorough with a desire for continuous process improvements.

8. 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