Field Sales Representative, Medicare Advantage

Field Sales Agent

*Very Competitive Pay and Sales Incentive Programs*

West Virginia Senior Advantage, a member of CommuniCare Health Services, is currently recruiting an experienced Sales Representative for our Medicare Advantage plan.

Purpose/Belief Statement

The Field Sales Agent ensures that CommuniCare Medicare Advantage products are the primary choice for Medicare-eligible individuals in their assigned territory. Successful candidates will use a consultative sales approach to encourage enrollment in a CommuniCare Medicare plan by presenting product options to prospective members while understanding and complying with Medicare regulations and company policies.

The Field Sales Agent is responsible for following up on leads, identifying and attending community outreach events targeted for seniors, establishing relationships, and presenting opportunities with provider groups, hospitals, and clinics, as well as self-generating leads. Our goal is to provide greater access to health insurance by providing education and assistance to Medicare-eligible individuals through distributing and presenting Medicare and other relevant products and educational information. Agents conduct enrollment and educational activities, to help facilitate the continuance of health insurance and assist with recertification assistance if needed.

As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

Qualifications & Experience Requirements

• Health Insurance licensing is required either at the time of hire or within 90 days of hire. Licensing must be kept active throughout employment.
• 2023/2024 AHIP Certification
• Bachelor’s degree in business, marketing or related field, or equivalent work experience
• Relevant experience with Medicare, skilled nursing, assisted living, home care and/or hospice preferred
• Pass all West Virginia Senior Advantage training modules
• Strong knowledge of post-acute and Medicare industry standards and guidelines
• Outstanding written and verbal communication abilities
• Familiarity with computers and necessary software
• Detail-oriented and well-organized

Work Environment

• May work beyond normal working hours, on weekends and holidays, when necessary.
• Field-based work is required. Occasional overnight travel will be required at times with field-based assignments.
• Must be flexible and willing to meet with prospective enrollees and their families at times that are convenient for the client.

Job Responsibilities

• Identify prospective enrollees and determine eligibility for participation in a CommuniCare Medicare Advantage program (MA, CSNP, ISNP) in an assigned territory.
• Understand and apply all policies and procedures about disclosures and provisions of Medicare programs and enrollment and disenrollment processes.
• Understand the covered benefits, non-covered benefits, exclusions and exemptions of Medicare products and programs including providing enrollees with all corresponding materials and documentation.
• Develop a presence in the local community to help generate enrollments and leads.
• Conduct home visits and personalized appointments as needed to complete the enrollment process.
• Market CommuniCare products and programs on-site at hospitals, clinics, provider offices, senior centers, assisted living facilities, community events, and other sites as designated.
• Assist members in accessing health care by facilitating the resolution of member issues as they occur.
• Conduct and participate in telemarketing/outreach efforts as required.
• Attend and participate in sales meetings, training programs, conventions and special events.
• Complete applications in a timely, accurate and compliant manner.
• Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other marketing representatives and company operations.
• Must conduct the outreach and sales process ethically and in a manner that fully complies with the CMS marketing and sales guidelines and regulations and with CommuniCare standards.
• Must be willing and able to meet established sales goals and targets as set by leadership.