AlohaCare
Medicare Sales Agent
AlohaCare is a local, non-profit health plan serving Hawaii's low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii's third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state. AlohaCare employees have a passion for helping Hawaii's most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package. AlohaCare's leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication. AlohaCare's comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program. The Opportunity
The Medicare Sales Agent carries out sales strategies and activities to meet sales goals and serves as a subject matter resource on Medicare sales. The Medicare Sales Agent performs sales activities, including telemarketing, one-on-one meetings, group presentations, community and provider education sessions, lead follow up, re-enrollment, referrals and re-marketing opportunities in a CMS-compliant manner. Ensures submission of timely, accurate, and complete enrollment applications that meet CMS requirements. Supports development and maintenance of community partnerships, including Co-Branding efforts in partnership with the Marketing and other departments. The Medicare Sales Agent represents AlohaCare in a highly professional and ethical manner consistent with organizational values and branding objectives. Primary Duties & Responsibilities
Medicare Sales Answer inbound and make outbound calls to pre-qualified prospective Medicare members. Answer inbound Member Retention calls to educate members on their plan benefits. Carries out CMS-compliant strategies and activities to meet goals stated in the current AlohaCare Medicare Sales Business Plan. Serves as a subject matter resource on Medicare sales. Supports development and execution of members, staff and community Medicare educational efforts. Supports development and maintenance of organizational partnerships, including co-branding efforts. Supports branding consistent with organizational goals. Supports department participation in organizational-wide efforts such as open enrollment, CMS audits, quality initiatives, NCQA accreditation, MQD contract readiness and other activities. Supports production of reports including fulfillment of regulatory requirements and organizational needs. Contributes to the development and execution of Medicare related communication products, including marketing materials, surveys, directories, manuals, handbooks, website, newsletters and advisories. Seeks and shares industry information that informs AlohaCare of current issues in the health industry and the communities we serve. Represents AlohaCare at external events including exhibit booths, conferences and meetings. Supports inter-departmental collaboration for projects, process improvement, member transitions and retention activities and on-going operations. Responsible for maintaining AlohaCare's confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title Regulatory Compliance Complies with all Medicare, Medicaid and applicable federal, state and AlohaCare requirements. Complies with all applicable AlohaCare policies and procedures. Requirements
High school diploma or equivalent Minimum of 2 years of sales experience, which includes a minimum of 1 year of Medicare Insurance Sales experience. Current State of Hawaii, Health Resident Producer License. Current AHIP Medicare Sales Certification/Recertification. Current valid Hawaii driver's license and access to an insured vehicle. Professional and positive attitude. Strong verbal and written communication skills, including public speaking and interpersonal interaction. Flexible and adaptable to changing priorities Working knowledge of Microsoft programs: Word, Excel, Outlook and PowerPoint Ability to think critically Ability to work effectively with a wide range of audiences, including beneficiaries, businesses and community organizations. Preferred Requirements Knowledge of Medicare and/or Medicaid programs. Knowledge of health plan operations Experience with healthcare laws, regulations and standards, including CMS Medicare Marketing Guidelines and HIPAA (Health Insurance Portability and Accountability Act). Ability to understand and speak a second language (preferably but not limited to Ilocano, Tagalog, Korean) Event planning experience Mental, Physical and Environment Demands
Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Indoor and occasional outdoor working conditions May require prolonged sitting- up to 4 hours. Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled workday. No environmental hazards. Requires on-island vehicular travel & occasional inter-island travel with overnight stays, as well as working occasional evenings and weekends. Salary range: $23.00 - $28.00 an hour AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record), disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veteran status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.
AlohaCare is a local, non-profit health plan serving Hawaii's low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii's third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state. AlohaCare employees have a passion for helping Hawaii's most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package. AlohaCare's leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication. AlohaCare's comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program. The Opportunity
The Medicare Sales Agent carries out sales strategies and activities to meet sales goals and serves as a subject matter resource on Medicare sales. The Medicare Sales Agent performs sales activities, including telemarketing, one-on-one meetings, group presentations, community and provider education sessions, lead follow up, re-enrollment, referrals and re-marketing opportunities in a CMS-compliant manner. Ensures submission of timely, accurate, and complete enrollment applications that meet CMS requirements. Supports development and maintenance of community partnerships, including Co-Branding efforts in partnership with the Marketing and other departments. The Medicare Sales Agent represents AlohaCare in a highly professional and ethical manner consistent with organizational values and branding objectives. Primary Duties & Responsibilities
Medicare Sales Answer inbound and make outbound calls to pre-qualified prospective Medicare members. Answer inbound Member Retention calls to educate members on their plan benefits. Carries out CMS-compliant strategies and activities to meet goals stated in the current AlohaCare Medicare Sales Business Plan. Serves as a subject matter resource on Medicare sales. Supports development and execution of members, staff and community Medicare educational efforts. Supports development and maintenance of organizational partnerships, including co-branding efforts. Supports branding consistent with organizational goals. Supports department participation in organizational-wide efforts such as open enrollment, CMS audits, quality initiatives, NCQA accreditation, MQD contract readiness and other activities. Supports production of reports including fulfillment of regulatory requirements and organizational needs. Contributes to the development and execution of Medicare related communication products, including marketing materials, surveys, directories, manuals, handbooks, website, newsletters and advisories. Seeks and shares industry information that informs AlohaCare of current issues in the health industry and the communities we serve. Represents AlohaCare at external events including exhibit booths, conferences and meetings. Supports inter-departmental collaboration for projects, process improvement, member transitions and retention activities and on-going operations. Responsible for maintaining AlohaCare's confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title Regulatory Compliance Complies with all Medicare, Medicaid and applicable federal, state and AlohaCare requirements. Complies with all applicable AlohaCare policies and procedures. Requirements
High school diploma or equivalent Minimum of 2 years of sales experience, which includes a minimum of 1 year of Medicare Insurance Sales experience. Current State of Hawaii, Health Resident Producer License. Current AHIP Medicare Sales Certification/Recertification. Current valid Hawaii driver's license and access to an insured vehicle. Professional and positive attitude. Strong verbal and written communication skills, including public speaking and interpersonal interaction. Flexible and adaptable to changing priorities Working knowledge of Microsoft programs: Word, Excel, Outlook and PowerPoint Ability to think critically Ability to work effectively with a wide range of audiences, including beneficiaries, businesses and community organizations. Preferred Requirements Knowledge of Medicare and/or Medicaid programs. Knowledge of health plan operations Experience with healthcare laws, regulations and standards, including CMS Medicare Marketing Guidelines and HIPAA (Health Insurance Portability and Accountability Act). Ability to understand and speak a second language (preferably but not limited to Ilocano, Tagalog, Korean) Event planning experience Mental, Physical and Environment Demands
Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Indoor and occasional outdoor working conditions May require prolonged sitting- up to 4 hours. Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled workday. No environmental hazards. Requires on-island vehicular travel & occasional inter-island travel with overnight stays, as well as working occasional evenings and weekends. Salary range: $23.00 - $28.00 an hour AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record), disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veteran status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.