Now Hiring - MetroPlus Health Plan - Sales Account Executive in New York, NY

Full description of the position

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
            • Must have NYS Driver's License;
            • New York State Accident & Health license (preferred but not required);
            • Must complete and pass the NY State of Health approved training program and become certified
            • Must complete all required annual recertification as an SARProfessional Competencies
              Integrity and TrustCustomer FocusFunctional/Technical skillsWritten/Oral Communication