PACE Community Outreach Specialist

PacificSource Health Plans•Springfield, OR

6d•$50,831 - $81,329•Hybrid

About The Position

Responsible for supporting the mission of PacificSource, solicit enrollments into PacificSource’s PACE Program through the direct distribution channel. Identify and build referral relationships with community-based organizations that serve and influence the Medicare and Medicaid population.

Requirements

Minimum of 2 years of health care customer service, enrollment, or sales experience required.
High school diploma or equivalent required.
Licensed driver required.
Ability to gain a thorough understanding of PacificSource products, internal procedures, and the competitive environment.
Knowledge of Medicare regulations.
Familiarity with available Medicare and Medicaid healthcare plans.
Accountability
Collaboration
Communication (written/verbal)
Flexibility
Listening (active)
Organizational skills/Planning and Organization
Problem Solving
Teamwork

Nice To Haves

Experience in health care sales or community engagement experience preferred.
Bachelor’s degree preferred.
Current Department of Insurance Health and Life licenses preferred.

Responsibilities

Develop and maintain relationships with existing members and key stakeholders in the community and generate referrals to help bring in new members to meet or exceed monthly enrollment targets.
Participate in community outreach events and meetings to generate referrals.
With the PACE leadership team develop and execute enrollment strategies for new target markets.
Coordinate and collaborate closely with the PACE Intake Specialist in all aspects of PACE outreach for efficient, positive, and friendly enrollment process.
Coordinate and collaborate with PACE site operations team members and PACE IDT as needed to cultivate and create visibility and a positive perspective of the PACE program in Lane County.
Coordinate and participate in all aspects of the enrollment process as needed to ensure timely enrollment.
Complete all data collection and mandated paperwork, adhering to all CMS and ODHS regulations and guidelines for PACE.
Maintain up to date database information on all enrollment and outreach efforts.
Foster referral relationships with local Adults & Persons with Disabilities leaders, Senior Centers and Community Based Care settings including: Assisted Living Facilities, Adult Foster Homes, Memory Care Units and Residential Care Facilities.
Consistently meet all minimum activity and enrollment standards as outlined by management.
Work closely with prospective and current participants and members. Responsible for timely and accurate responses to needs and requests.
Responsible for representing the entire staff in the marketplace through expertise, reliability and professionalism.
Interact with all departments and employees at PacificSource in the course of business.
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Operate in compliance with CMS PACE and Medicare’s Marketing Guidelines.
Perform other duties as assigned.