Medicare Sales Rep II

MetroPlusHealth 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 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Purpose of Position:

Under varying degrees of supervision, identifies qualified Medicare participants and educates them as to the benefits of selecting MetroPlus as a managed care provider. Achieves predetermined monthly enrollments based on regularly updated goals and objectives, documents consumer contracts, and processes grievances. Moreover, maintains a positive public relations presence within the community, provider agencies, and with city and state regulatory agencies. Additionally, may provide training of and/or supervision to subordinate staff. There are three Assignment Levels within this class of positions; all personnel perform related work.

Level I Under supervision, performs the following typical tasks:

1. Implements methods, activities and action plans necessary to achieve daily, weekly and monthly objectives.

2. Presents clear and accurate information regarding health plan to eligible recipients and community-at-large.

3. Performs group and individual presentations for purpose of educating and enrolling qualified participants in a variety of arenas including but not limited to senior centers, provider sites, churches, assisted living facilities, nursing homes, etc.

4. Provides all benefit/service related information to members, applicants, and providers.

5. Performs telemarketing activities as appropriate for purposes of enrollment and follow-up activity.

6. Processes all member demographic changes.

7. Maintains accurate documentation related to enrollment and field activities.

8. Participates in regularly scheduled sales/marketing meetings as required.

9. Performs other related tasks as directed.

1. Possession of a valid Life/Accident & Health Insurance Agent License issued by the New York State Insurance Department; and,

2. Possession of a High School diploma or evidence of having satisfactorily passed a High School Equivalency Program; and,

3. Satisfactory completion of training and orientation administered by MHP personnel; and,

4. One year of experience in direct consumer contact, sales and/or social services; or,

5. A satisfactory equivalent combination of education, training, and experience. However, all incumbents must possess the required licensure as described in one above.

6. Knowledge of a second language may be required.

Level II: 1. One year of experience in Assignment Level I or one additional year of experience as described above.

Possession of a valid Life/Accident & Health Insurance Agent License issued by the New York State Insurance Department must be maintained in order to remain in this position.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20 hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs