Sr Community Outreach Representative - Bristol County

Point32Health; Massachusetts; On-site; USD 60,000 - 82,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Retirement plans

Paid time off

Employer-paid life and disability insurance

Tuition program

Well-being benefits

Career development support

Job summary

A leading not-for-profit health organization in Massachusetts is seeking a Sr Community Outreach Representative. This role involves educating the 65+ community about health plan benefits, conducting outreach activities, and achieving enrollment goals. Ideal candidates should have 3-5 years of sales experience, preferably in Medicare products, and must be bilingual. Comprehensive benefits are offered, including medical coverage and retirement plans.

Qualifications

• 3-5 years of professional experience in sales.
• Experience selling Medicare Advantage products is preferred.
• Ability to network and generate leads effectively.
• Bilingual in Albanian, Russian, or Hindi preferred.
• MA Health Producer license or willingness to obtain within 90 days of hire.

Responsibilities

• Educate the 65+ community about Point32Health benefits.
• Meet enrollment goals through diverse outreach activities.
• Maintain lead tracking and a database of interactions.
• Coordinate home visits and enroll eligible prospects.
• Maintain lead tracking and enrollments in the CRM system.
• Represent SCO at events and community forums to raise awareness and generate leads.
• Develop territory business plan and provide weekly activity plans and summaries.
• Stay updated on provider networks and CMS/EOHHS guidelines.

Skills

Community-based sales and marketing

Public presentations

Consultative selling

Bilingual in Albanian, Russian, or Hindi

Time management

Organizational skills

Education

High school diploma

Bachelor’s degree in a related field

Tools

Microsoft Office

Health Producer license for MA

Job description

Join to apply for the Sr Community Outreach Representative role at Point32Health

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

Job Summary

Educate and be highly visible in the 65+ community to promote Point32Health, Senior Care Options Plan (Point32Health SCO) and its benefits that lead to the enrollment of new members. Education will be given to prospects and their caregivers, Community Health Centers, Providers, local Elder Services, Councils on Aging, Housing Authorities, Senior Centers, and SHINE Counselors. The primary objective of this position is to identify prospective SCO-eligible members, explain the features and benefits of the plan in an assigned territory/marketplace, and assist with enrollment into the plan. Successful candidates generate leads from a variety of sources including networking, account management, grassroots sources as well as from member referrals.

Key Responsibilities

• Effectively present the Point32Health SCO Program and its benefits to the 65+ MassHealth populations residing in the community.
• Meet or exceed enrollment goals within an assigned territory; use a full sales mix of outreach and sales activities; conduct group and/or individual sales presentations and enroll eligible prospects on site as often as possible.
• Perform lead generation through community-based activities and develop partnership-based relationships with providers, community-based organizations, senior housing, senior centers, advocacy agencies, etc.; conduct sales meetings, in-homes, conversion meetings, lead meetings, special events, and regular business reviews with accounts.
• Perform lead follow-up and qualification calls to interested individuals to explain the purpose and benefits of Point32Health SCO and scheduling home visits to meet with prospects.
• Maintain lead tracking and a sales database for all activity and interactions; submit completed enrollment applications in a timely basis.
• Coordinate and develop relationships with key community groups to enable Point32Health SCO participation in community-sponsored events.
• Represent Point32Health SCO at community or company-sponsored events to promote the company and the plan, raise awareness, network, and generate leads.
• Develop and implement a business plan within the assigned territory; provide weekly activity plans, result summaries, and monthly expense reports.
• Know provider networks (physician, hospital, and pharmacy) within assigned territories; maintain knowledge of competitor products in the market.
• Represent Point32Health SCO in a manner consistent with company values and the departmental Code of Ethics; adhere to company policies and CMS and EOHHS guidelines.
• Complete required certifications, licensing, continued education, policy acknowledgments, and work plans within deadlines; complete AHIP and any additional required training.
• Perform other duties as necessary and assigned.

Qualifications – What You Need To Perform The Job

• Education: Required: High school diploma. Preferred: Bachelor’s degree in a related field.
• Experience: Required: 3-5 years of professional experience. Preferred: 3-5 years of experience selling Medicare Advantage products or relevant sales with a track record of success.
• Skills: Experience in community-based sales and marketing; ability to make public presentations and network to generate leads; strong consultative selling and presentation skills; familiarity with MassHealth a plus; Medicaid/Medicare/Long-Term Care knowledge helpful; excellent time management, organizational, verbal, and written communication skills; strong follow-up and telesales skills; initiative and judgment to work with minimal supervision; ability to work cooperatively as a team; bilingual required with Albanian, Russian, or Hindi preferred; computer proficiency with the Internet, web-based applications, and Microsoft Office; Health Producer license for MA or agreement to obtain within 90 days of hire.

Working Conditions and Additional Requirements

• Must be able to work from home as required and in normal office conditions; may require extended sitting and use of telephone/headset and PC.
• May require additional hours beyond the standard work schedule.

Compensation & Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual and family health, and financial health

EEO Statement

We welcome all applicants and will consider employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.