Licensed Medicare Sales RepresentativeCareers Integrated Resources Inc • New York, NY, United States
Licensed Medicare Sales Representative
Careers Integrated Resources Inc • New York, NY, United States
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job_description.job_card.job_descriptionThe primary function of the Quality Management Outreach Specialist is to provide support for internal and external requirements related to improving Client Health Plan’s quality performance in its programs. This includes supporting processes related to collecting, maintaining and compiling data received for incorporation into Plan reporting. The position serves as a Quality Management member liaison, working to address member’s needs. The primary focus is outreaching to members to administer a Health Risk Assessment (HRA) and subsequently responding to identified needs, data entry of assessments, maintenance of tracking process and reports, and implementation of treatment plans by linking member to appropriate clinical and social services. This position will support additional ad-hoc outreach efforts to both members and providers to assist with connecting members to clinical services. Product of Role & Responsibilities : Administer Health Risk Assessment to members as needed. Handle requests for care coordination, assessing the request, the member’s needs, and facilitating appropriate interventions and follow up. Maintain accurate and complete documentation of required information in compliance with risk management and regulatory requirements. Assist member with basic benefit information. Assist members with appointments for specialists, educational classes, and transportation. Perform data entry of medical information; maintain tracking process and reports. Assist Quality Management personnel to coordinate members’ appointments, equipment, social services, and home health needs. Participate in team meetings. Attend Client events whenever required. Promote communication with the Care Management team and other internal departments to ensure members receive needed services and to foster member satisfaction. Alert the appropriate Team Lead when members share clinical issues that need to be addressed. Comply with all orientation requirements, annual and other mandatory training, organizational and departmental policies and procedures and actively participate in the evaluation process. Share observations and provide feedback regarding workflow to ensure continuous quality improvement. Maintain professional competences as a Quality Management Outreach Specialist. Perform other duties as assigned
Job Title – Licensed Medicare Sales Representative
Locations – New York, NY 10004
Initial Duration – 3+ months (with possible extension)
Pay Range - $30 - $34 / hr. on w2
Shift Time- 9 am – 5 : 00 pm. Hours May Vary due to business need
Schedule Notes :
- Medicare Sales Representative - Field Position - Hours May Vary due to business need - NYS Life Insurance is needed
- No reimbursable expenses
- Bilingual candidates preferred (Spanish, Haitian Creole, or Russian Medicare Sales Representative Position Identify and enroll eligible individuals into Client’s Medicare plan through outreach and education. Conduct home visits and community presentations at hospitals, senior centers, and other sites.
- Explain plan benefits, coverage, and exclusions while ensuring compliance with marketing and regulatory guidelines.
- Complete enrollment applications and reports accurately and on time.
- Collaborate with internal teams to resolve member concerns and maintain strong relationships with community organizations and regulatory partners.
- Support members with access to care, transportation, and related needs.
Duties :
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Sales Representative • New York, NY, United States
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