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Medicare Membership Specialist

Job Details

Orlando - Ocoee - Orlando, FL
Full Time
High School
Senior Care - Medicare

Description

Position Summary
The primary responsibility of a Medicare Member Specialist is to develop and execute SanitasPlus strategies
to increase Medicare membership in a specific demographic or geographic area. The Medicare Member
Specialist is responsible for creating and maintaining relationships with key stakeholders such as community
organizations, and insurance agencies and brokers (FMOs & CGAs) to facilitate enrollment of eligible
individuals into SanitasPlus Senior care model and Medicare programs.
Essential Job Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Executing a comprehensive marketing and outreach plan to increase Medicare enrollment in the assigned area.
2. Building and maintaining relationships with healthcare providers, community organizations, and government
agencies to increase awareness about SanitasPlus Medicare programs and benefits.
3. Participating in community events, health fairs, and other outreach opportunities to promote SanitasPlus
Medicare enrollment.
4. Providing education and counseling to potential enrollees about SanitasPlus healthcare programs and other
Medicare savings programs.
5. Conducting needs assessments to identify barriers to complete SanitasPlus Medicare enrollment and
developing strategies to overcome those barriers.
6. Tracking and reporting on enrollment activity and outreach and events outcomes to leadership and other
stakeholders.
7. Collaborating with other agents and teams to ensure coordination and consistency in outreach efforts.
8. Must be able to meet specific Leads creation and patient retention goals as outlined by the Membership
Manager and Leadership
9. Reports productivity as established by the Membership Manager.
10. Ability to explain and talk about SanitasPlus value proposition, Senior services and care model to originate leads
and answer questions from members and employees.
11. Assist the Area Business Development Managers with questions, enrollments and completeness of member
information
12. Work extended hours and weekends when needed at both indoor/outdoor locations
13. Teamwork oriented and goal driven
14. Work on special projects as assigned
15. Maintains and improves quality results by adhering to standards and guidelines,
recommending improved procedures.
16. Other duties as assigned

Qualifications

Required Education and Experience

The ideal candidate should have excellent communication and interpersonal skills, be able to work independently, have strong organizational and problem-solving skills, and be comfortable with using technology. They should also have a good understanding of Medicare policies and programs, local healthcare systems, and cultural competency. Experience in marketing, sales, or community outreach, especially in the healthcare field, would be an added advantage.

  •  High School Graduate or equivalent 
  • Intermediate Technology Skills
  •  1+ years of Customer Service skills and training
  •   1+ years of experience in the medical field.  
  •  Bilingual English/Spanish
  • Any combination of education, training, and experience which demonstrates the ability to perform the duties and responsibilities as described including related work experience. 
  • Capacity to maintain confidentiality and work independently in support of the department
Preferred Education and Experience
1. Experience with Medicare Advantage and Medicare regulations
2. Healthcare insurance knowledge  
3. Experience with Medical offices  
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