Navicare / Senior Care Options Community Coordinator - Springfield
Company: Fallon Community Health Plan
Location: Springfield
Posted on: May 16, 2022
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Job Description:
Navicare / Senior Care Options Community Coordinator -
SpringfieldUS-MA-SpringfieldJob ID: 6740Type: Full Time# of
Openings: 1Category: SalesRecruiting Location -
SpringfieldOverviewGreat Base Salary plus Incentives with
Flexibility covering Hampden County. Fallon Health Vaccination
Requirements:To protect the health and safety of our workforce,
members and communities we serve, Fallon Health now requires all
employees to disclose COVID-19 vaccination status. As of 2/1/2022,
all roles not designated as "Remote" require full COVID-19
vaccination and Fallon Health will obtain the necessary information
from candidates prior to employment to ensure compliance. Failure
to meet the vaccination requirement may result in rescission of an
employment offer or termination of employment. About Fallon
Health:Founded in 1977, Fallon Health is a leading health care
services organization that supports the diverse and changing needs
of those we serve. In addition to offering innovative health
insurance solutions and a variety of Medicaid and Medicare
products, we excel in creating unique health care programs and
services that provide coordinated, integrated care for seniors and
individuals with complex health needs. Fallon has consistently
ranked among the nation's top health plans, and is accredited by
the National Committee for Quality Assurance for its HMO, Medicare
Advantage and Medicaid products. For more information, visit
www.fallonhealth.org. About NaviCare:Fallon Health is a leader in
providing senior care solutions such as NaviCare, a Medicare
Advantage Special Needs Plan and Senior Care Options program.
Navicare integrates care for adults age 65 and older who are dually
eligible for both Medicare and MassHealth Standard. A personalized
primary care team manages and coordinates the NaviCare member's
health care by working with each member, the member's family and
health care providers to ensure the best possible outcomes.
Position Overview:This position requires that the Senior Plan Sales
achieves personal referral and outreach goals for the NaviCare
program. Manages a territory and group of referral source accounts,
providing regular follow up and overcoming barriers with each
account to meet enrollment goals. Responsibilities 1. Relationship
Building Creates productive and collaborative relationships with
internal and external referral sources in order to obtain qualified
referrals and enrollments for the NaviCare program. .Participates
in all community outreach activities, such as senior fairs,
community events, and elder services professional association
events to ensure Fallon Health's visibility and presence in your
territory.Presents the NaviCare program to groups who are likely
prospects, caregivers and community referral sources. Develops and
implements their own territory business development plan, and
carries out activities to penetrate accounts listed on the plan2.
Lead Generation Works collaboratively with Navicare enrollment team
to discuss progress of referrals and ideas for resolving
issues.Provides inservice orientations to vendors and providers on
an annual basis.Shows accountability and follows up with prospects
until the lead is closed/withdrawn and document as appropriate.
Achieves monthly referral and home visit request goals 3. Secure
Applications Generates sufficient NaviCare enrollment applications
to meet monthly enrollment goals. Explains the NaviCare program
clearly and consistently to prospects and their families to ensure
that prospects enroll with a solid understanding of the program
maintaining a low disenrollment rate. Meets with NaviCare prospects
in their homes. Completes application and other documentation
needed.Submits all completed applications in a timely manner as
required by CMS.4. Tracking & Reporting Documents all sales
activities in the department's CRM application and account
management grid in a timely manner.Meets weekly sales activity
deliverables consistently, and tracks these in the CRM and their
Outlook calendar.Maintains records of NaviCare applications and
documentation related to scope of appointments. 5.
AssessmentRegularly reviews effectiveness of efforts against goals.
Provides market intelligence to the NaviCare/ Manager and the
Outreach Director so that adjustments can be made to tactical
plans. Manages their own professional development by seeking
advice, training and coaching from their colleqgues, manager, and
the Director of Outreach.6. Regulatory GuidelinesOperates within
the marketing and outreach guidelines and regulations provided by
CMS and EOHHS..Retains Scope of Appointment and other Enrollment
Records.Submits information on NaviCare prospect events to Outreach
Support in a timely manner, for CMS submission.When in doubt, asks
questions pertaining to compliance or privacy regulations.
Regulatory GuidelinesQualificationsEducation: BS or BA degree
and/or comparable experienceLicense: Valid Massachusetts Driver's
LicenseCertification: AHIP; can obtain after
hireExperience:Knowledge and experience working with community
organizations, low income communities and the elderly3 years of
sales experience in healthcare or group insurance strongly
preferred.Must have proven experience working in a customer facing
role focused on sales, lead generation in a high paced customer
service or sales environment.Knowledge of Medicare, Medicaid and
insurance products is desirable. Knowledge of customer service,
sales, outreach and marketing principles and practices. Possession
of a valid Mass. driver's license and a vehicle to be used for
marketing activities and home visits.Competencies:Excellent verbal
and written communications skills; including effective presentation
skills.Ability to organize schedule, and prioritize competing
priorities to meet the requirements of the position.Excellent
customer service and sales skills.Ability to work independently and
exercise sound judgment.Ability to do research and foster the
development of new accounts.Ability to establish and maintain
effective relationships with community members, referral sources,
and co-workers.Ability to maintain accurate records and prepare
clear, concise reports, correspondence, including enrollment
applications Ability to effectively respond and adapt to changing
business needs, such as those presented by new competition and/or
opportunities in your territory Possession of a valid Mass.
driver's license and a vehicle to be used for marketing/outreach
activities and home visits.Fallon Health provides equal employment
opportunities to all employees and applicants for employment and
prohibits discrimination and harassment of any type without regard
to race, color, religion, age, sex, national origin, disability
status, genetics, protected veteran status, sexual orientation,
gender identity or expression, or any other characteristic
protected by federal, state or local laws. PM16PI177593743
Keywords: Fallon Community Health Plan, Springfield , Navicare / Senior Care Options Community Coordinator - Springfield, Other , Springfield, Massachusetts
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