Manager, D-SNP Sales

Ventura County Medi-Cal Managed Care Commission; California (MO); On-site; USD 120,000 - 180,000; Full time

Job summary

Gold Coast Health Plan seeks an experienced sales leader to manage Medicare programs, drive retention, and lead collaborative outreach with partners. The role requires strong CMS knowledge, a robust sales background, and supervisory experience to guide a diverse team.

The position includes oversight of the sales system, dashboards, and SOP development, ensuring alignment with CMS requirements and organizational goals.

Qualifications

• Bachelor’s degree in a related field of study.
• Equivalents: 4 years of combined education, training, or experience accepted.
• Minimum of 5 years of Medicare Advantage sales experience.
• Minimum of 3 years supervisory experience.
• At least one year experience with the Medi-Cal program.
• Strong oral and written communication with presentation ability.
• California Life, Accident and Health Insurance License, or ability to obtain within 60 days.

Responsibilities

• Provide strategic management in executing the GCHP Medicare sales programs and assist with the marketing program as needed.
• Monitor the sales distribution channel and ensure programs comply with CMS guidelines.
• Conduct regular sales coaching sessions with each sales agent to review performance and guide improvements.
• Oversee lead/funnel management and disposition to meet organizational standards.
• Lead outreach to community organizations and negotiate partnerships or collaborations.
• Manage sales system and CRM functionality, acting as business owner for the sales system.

Skills

Communication skills

Sales leadership

CMS guidelines knowledge

CRM management

Sales coaching

Vendor management

Education

Bachelor's degree

Tools

CRM

MS Office

Job description

About this role

Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. This position is open to Ventura County residents and surrounding cities only

Essential Functions

• Providing strategic management in executing the GCHP Medicare sales programs and assist with the marketing program as needed.
• Monitoring the sales distribution channel and ensures programs are in compliance with CMS guidelines.
• Performing regular sales coaching sessions with each sales agent to review their performance and if necessary, provide guidance on ways to reach their goals.
• Ensuring team members meet organizational standards for lead/funnel management and disposition.
• Ensuring team members meet established requirements for call overflow program participation as needed by the organization.
• Leading the outreach efforts to community organizations and working with sales agents to identify and negotiate partnerships or collaboration opportunities.
• Managing sales system and CRM functionality capabilities, acting as a business owner for the sales system, and collaborating with vendor management.
• Conducting analysis on sales retention activities, presents tactics/initiatives on retention to increase membership and member experience, and accountable for all retention related work.
• Working cross-collaboratively with diverse staff in teams, working groups, members, doctors, elected officials, community partners, and vendors while maintaining and upholding a professional demeanor and representing the Alliance at interviews, special events, official functions, meetings, and when conducting research.
• Maintaining overall creative playbooks, workplans, dashboards, and other project management capabilities to determine effectiveness of plans and activities to ensure on-time production.
• Identifying opportunities and conducting trainings to increase the sales, marketing, communications, retention, and brand awareness and knowledge of the organization, while collaborating with leadership, training and other resources.
• Creating policies, standard operating procedures (SOPs), productivity standards, roadmaps, reporting, and key performance indicators (KPIs), and performance evaluations in a timely manner.
• Stays up to date and proficient in understanding CMS and State guidelines and regulations.
• Maintains basic knowledge of the business, economic, demographic and political trends and developments affecting healthcare in general, and sales and marketing in particular.
• Manages small to extra-large level initiatives which may require coordination with external partners.
• Provides support to the Project Management Office (PMO) and various enterprise-wide activities based on availability.
• Organizes and facilitates sales and retention project-related meetings, as necessary.
• Works effectively independently as well as part of a team and supports team decisions.
• Manages all sales department staff and processes, from lead generation to enrollment and retention, and ensures the team adheres to all new member enrollment policies and procedures as established by leadership, CMS, and the Compliance Department.

Minimum Qualifications

• Bachelor’s degree in a related field of study
• Equivalent In lieu of degree: Will accept 4 years of experience in any combination of academic education, professional training, or work experience, which demonstrates the ability to perform the duties of the position.
• Minimum of 5 years of Medicare Advantage sales experience
• Minimum of 3 years supervisory experience
• At least one year experience with the Medi-Cal program
• Experience with the Medi-Cal program
• Strong oral and written communication skill as well as ability to present to individuals or groups
• California Life, Accident and Health Insurance License, or the ability to obtain within 60 days of employment

Preferred Qualifications

• Medicare supplemental benefits (Dental, Vision, Hearing, etc.) experience strongly preferred
• Bilingual in English and Spanish preferred; not required
• CMS filling and audit experience strongly preferred
• Experience in project management, program management, or product development preferred
• Utilize computer and appropriate software (e.g. Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to product correspondence, charts, spreadsheets, and/or other information applicable to the position as required
• Excellent people skills with the ability to interact with diverse individuals and flexibility to customize approach to meet all types of employee and member communication styles and personalities
• Ability to work independently
• Ability to lead effectively in a matrixed environment
• Good territory and funnel management oversight skills
• Strong ethical foundation and trustworthy character with the ability to maintain confidentiality related to sensitive matters

Technology & Software Skills

• Advanced computer skills in MS Office products.

Certifications & Licenses

A valid and current Driver's License, Auto Insurance, and professional licensure(s)

Competency Statements

• Business Acumen - Ability to grasp and understand business concepts and issues.
• Decision Making - Ability to make critical decisions while following company procedures.
• Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.
• Interpersonal - Ability to get along well with a variety of personalities and individuals.
• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
• Time Management - Ability to utilize the available time to organize and complete work within given deadlines.
• Consensus Building - Ability to bring about group solidarity to achieve a goal.
• Relationship Building - Ability to effectively build relationships with customers and co-workers.
• Presentation Skills - Ability to effectively present information publicly.
• Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.
• Judgment - The ability to formulate a sound decision using the available information.
• Communication, Oral - Ability to communicate effectively with others using the spoken word.
• Communication, Written - Ability to communicate in writing clearly and concisely.
• Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.

The estimated pay range for the position is: $120,000.00 - $180,000.00 The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.

At Gold Coast Health Plan, we believe that our employees are our greatest asset. We are committed to fostering a supportive and inclusive work environment where every team member can thrive. Whether you're just starting your career or looking to take the next step, we offer a range of opportunities to help you grow and succeed.