Sr Community Outreach Representative

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. 

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

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 care givers, 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.

Job Description

Key Responsibilities/Duties – what you will be doing (top five):

• 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; using a full sales mix of outreach & sales activities Conduct group and/or individual sales presentations and enroll eligible prospects on site as often as possible
• Primary activities include community-based lead generation, developing partnership-based relationships with providers, community-based-organizations, senior housings, senior centers, advocacy agencies, etc. Other outreach & sales activities include conducting sales meetings, in-homes, conversion meetings, lead meeting, special events, developing referrals and having 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 sales database for all sales activity and consumer interactions performed.
• Submit completed enrollment applications in a timely basis.
• Coordinate and develop relationship with key community groups to allow Point32Health SCO to participate in community-sponsored events.
• Represent Point32Health SCO at community/company-sponsored events to promote the company and the plan, raise awareness, network, and generate leads.
• Develop and implement a business plan within his/her assigned territory.
• Provide weekly activity plans, result summaries and monthly expense reports.
• Know provider networks (physician, hospital, and pharmacy) within assigned territories.
• Maintain good working knowledge of competitor products in the market
• Represent Point32Health SCO in a manner consistent with stated company values and departmental Code of Ethics
• Adhere to company and departmental policies and procedures, including abiding to all CMS and EOHHS guidelines.
• 100% compliance with completion of all required certifications, licensing, continued education, policy acknowledgement and work plan documents within dates of completion requirements.
• Submit completed enrollment applications in a timely basis
• Successfully complete annual product training, AHIP certification and additional training and/or certification that may be required
• Perform other duties as necessary and assigned
• Other duties and projects as assigned.

Qualifications – what you need to perform the job

Certification and Licensure

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 experience with a track record of success.

Skill Requirements

• Experience in community-based sales and marketing desirable. Experience working with the elderly is desirable.
• Demonstrated ability to make public presentations and experience networking/generating leads a must.
• Strong consultative selling and presentation skills.
• Familiarity with MassHealth is a plus
• Medicaid, Medicare and/or Long-Term Care industry knowledge helpful.
• Excellent time management, organizational, verbal, and written communications skills and strong follow-up skills using telesales techniques is required.
• High degree of planning, problem solving, and good analytical skills required.
• Initiative and judgment required to successfully fulfill all job functions of multi-faceted position with minimal supervision.
• Must have ability to work cooperatively as a team member, and to interact professionally and effectively with managers and staff of internal departments at Point32Health to handle customer/member issues. Also, must maintain excellent relationships with external partners.
• Language skills: Bilingual required. Albanian, Russian, or Hindi preferred.
• Computer Skills: Must be proficient in use of the internet, web-based applications, and Microsoft Office suite of products.
• Insurance License: Must have a current, active Health Producer license for the state of Massachusetts or agreement to obtain within 90 days of hire.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Compensation & Total Rewards Overview

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

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org