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. All personnel perform related work.
Example of typical tasks:
Under supervision, with latitude for independent judgment and decision making, may perform the work of Assignment Level I at a higher level:
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.
In addition to, or instead of, performing the duties of Assignment Level I at a higher level, as described above, performs the following tasks:
1. May act as preceptor to subordinate Enrollment Sales Representatives to facilitate their understanding of MetroPlus objectives, operations and site specific information.
2. Implements and monitors appropriate methods, activities and action plans necessary to regularly achieve accelerated predetermined enrollment objectives.
3. Ensures appropriate and accurate documentation of call center plan enrollments and field activities.
4. Provides assistance and facilitates communications to sales/customer services management team.
5. Participates in bi-weekly and monthly sales/marketing meetings.
6. Performs related duties as directed.
