Sales Account Executive
Company: MetroPlus Health Plan
Location: Jersey City
Posted on: August 3, 2022
Job Description:
Empower. Unite. Care.MetroPlusHealth is committed to empowering
New Yorkers by uniting communities through care. We believe that
Health care is a right, not a privilege. If you have compassion and
a collaborative spirit, work with us. You can come to work being
proud of what you do every day.About NYC Health +
HospitalsMetroPlusHealth provides the highest quality healthcare
services to residents of Bronx, Brooklyn, Manhattan, Queens and
Staten Island through a comprehensive list of products, including,
but not limited to, New York State Medicaid Managed Care, Medicare,
Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,
Essential Plan, etc. As a wholly-owned subsidiary of NYC Health +
Hospitals, the largest public health system in the United States,
MetroPlusHealth's network includes over 27,000 primary care
providers, specialists and participating clinics. For more than 30
years, MetroPlusHealth has been committed to building strong
relationships with its members and providers to enable New Yorkers
to live their healthiest life.Position Overview -The Sales Account
Representative (SAR) will: -
- Have a combination of Gold and NYSOH Enrollment Goals.
- The ratio will vary year by year.
- Drive & influence MetroPlus Gold enrollment within assigned
territory/account(s):
- Accounts will include contacts/locations from the 72 NYC
Agencies.
- Serve as the relationship lead with city agency Benefit
Managers.
- Target key city agency accounts to:
- generate MetroPlus Gold new hire and fall transfer period
opportunities.
- monitor application issues and/or inquiries. - - -
- facilitate application/members inquiries made by employees
and/or Benefit Managers.
- Conduct NYSOH enrollments.
- By self-generating leads.
- Working assigned leads and/or events.
- Building referral relationships via territory development
workJob DescriptionMetroPlus Gold Educational/Enrollment Process
- The SAR must develop and maintain knowledge of MetroPlus Health
Plan's Gold products and stay up to date with all OLR marketing
rules and company regulations. -
- The SAR must possess good presentation skills or be willing to
develop presentation skills.
- The SAR will be responsible for tailoring template MetroPlus
Gold power point presentations and present to both internal and
external audiences. -
- Educate and assist NYC government employees (e.g. DOE, NYPD,
HHC, FDNY, HRA, etc.) in qualifying and applying for coverage
through the Officer of Labor Relations (OLR).
- Conduct public education activities with NYC agencies to raise
awareness of MetroPlus Gold. -
- Review and explain the features and benefits of health
insurance coverage, including cost-sharing mechanisms like
deductibles, co-pays, co-insurance and how these work and/or affect
the consumer.
- Conduct presentations and participate in NYC Employee forums
and workshops upon request.
- Provide reports and statistical data on MetroPlus Gold
membership, leads, etc. as requested.
- Provide marketing materials (literature and/or promotional
items) to city agencies as needed.
- Continually analyze market trends and remain current on OLR
updates.
- Engage NYC Benefit managers on a monthly basis. - - - - - - New
York State of Health Enrollment:
- The Sales Representative is responsible for educating and
assisting qualified individuals with -purchasing affordable health
insurance coverage and/or obtaining an eligibility determination
for -coverage in Qualified Health Plans (QHPs) and insurance
affordability programs such as Medicaid and -Child Health Plus
(CHP) through the NY State of Health (Marketplace). -
- The Sales Representative is responsible for identifying and
educating prospective members that do not have health insurance
and/or are looking to change coverage as well as assisting existing
members with recertification and education of benefits. - The Sales
Representative is tasked with performing all duties in accordance
with the Affordable Care Act (ACA) as well as all other pertinent
rules and regulations. Regulatory/Compliance:
- Secure and safeguard confidential information to prevent
Protected Health Information from being obtained from unauthorized
personnel to ensure compliance with privacy and security
standards.
- Provide information in a manner that is culturally and
linguistically appropriate to the needs of small business owners
and NYC Employees.
- Participate in all trainings, updates and webinars and other
forums in which information is necessary to carry out roles and
responsibilities.
- Mandated to meet the annual NYS Marketplace recertification
requirements.
- Keep abreast of all industry and regulatory updates as it
pertains to the ACA and Marketplace.
- Maintain discretion regarding business-related files, reports
and conversations within the provisions of applicable State and
Federal Statutes and regulations.Tactical:
- Target and track SAR outreach to NYC employees within assigned
territories (or as assigned). -
- The SAR unit will provide customer service functions to benefit
coordinators and union representatives. -
- Establishes oneself as the primary contact for MetroPlus Gold
new hire and open enrollment activities.
- Conduct a daily review of the MetroPlus "Marketplus" lead
management program to follow-up on all new potential enrollment
leads and consumer inquiries. - Record all follow-up dispositions
in a timely and accurate manner.
- Data enter all applicant demographic, enrollment site and PCP
selection data in the required "Enrollment Program" within the
MetroPlus portal at the time of the initial enrollment
encounter.
- Educates and enrolls individuals into QHP and/or government
sponsored plans (Medicaid, CHP and EP) as an enhanced service for
all established accounts. - - -
- Monitor all applications in personal dashboard to ensure timely
and accurate follow through from applicants.
- Conduct a daily review of personal dashboard to address and
follow-up on any and/or all potential leads for consumers seeking
assistance.
- Maintain a consistent supply of various educational and product
line collateral.
- Keep abreast of all the Marketplace functionalities to
effectively manage accounts.
- Conduct a daily review of the MetroPlus "MarketPlus" lead
management program to follow-up on all new potential enrollment
leads and consumer inquiries. - Record all follow-up dispositions
in a timely and accurate manner.
- Data enter all applicant demographic, enrollment site and PCP
selection data in the required "Enrollment Program" within the
MetroPlus portal at the time of the initial enrollment encounter.
Minimum Qualifications
- Must have a High School Diploma or GED;
- Possess a working vehicle to be used during working hours;
- Willing to travel within the NYC service area. -
- Minimum of 1-2 years of Sales / Customer Relations experience
required;
- Public Speaking experience;
- Must not have a conflict of interest during the term as
SAR.
- Willing to work evenings and weekends.Licensure and/or
Certification Required
Keywords: MetroPlus Health Plan, Jersey City , Sales Account Executive, Other , Jersey City, New Jersey
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