About The Position

This position requires that the Account Executive 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.

Requirements

  • BS or BA degree and/or comparable experience.
  • Must have or obtain within 90 days of hire date Massachusetts Insurance Producer License.
  • Obtain AHIP certification before or after hire.
  • Knowledge and experience working with community organizations, low income communities and the elderly.
  • 3 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.

Responsibilities

  • 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 plan.
  • 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  • Shows accountability and follows up with prospects until the lead is closed/withdrawn and document as appropriate.
  • 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.
  • Completes application and other documentation needed.
  • Submits all completed applications in a timely manner as required by CMS.
  • 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.
  • Regularly 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.
  • Operates 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.
  • Must meet monthly, quarterly and year end enrollment goals.
  • Must maintain a minimum number of activities and events designed to generate leads for enrollments.
  • Must keep up to date all records related to leads in CRM system, Account Management Grid and any other report requested by your manager.
  • Must cause to have at minimum 10 actively referring accounts.
  • Must work to develop at least 10 new accounts every month.
  • Must attend all required Department and collaborating Department meetings.
  • Must complete and deliver on time reports, documentation, and yearly business plan for your territory.
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