Call-in/On-Call Enrollment Specialist III, Bilingual Spanish

Description : Job Summary :

• In addition to the responsibilities listed above, this position is also responsible for attending employer, community, and open enrollment events on an on-call basis to educate members and prospects on KP products;
• delivering formal presentations to employees and prospective members; independently monitoring and reporting on enrollment performance data and discrepancies;
• serving as an informational resource for sales and account management teams on KP health plans and benefit offerings when working with customers, internal departments and / or brokers;
• utilizing comprehensive foundational knowledge of KP health plans and benefit offerings to facilitate formal, stand-up presentations to prospective members;

and resolving customers standard and non-standard questions and concerns about benefits and services.

Essential Responsibilities :

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members.
• Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses;
• influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback;

demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.

Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions;

ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives.

Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information.

Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.

• Contributes to a positive customer experience by : implementing standard and non-standard protocols to build new and leverage existing relationships with brokers, channels and customers to demonstrate value and build commitment independently;
• gathering data on standard and non-standard customer needs, and identifying solutions linking KP mission, vision and values, key quality measures, key care management initiatives, and current services initiatives independently;
• utilizing comprehensive foundational knowledge of product, service, and ratings to respond to, encourage, and educate customers, brokers, and consultants about added services and product enhancements in standard and non-standard situations;

and identifying and escalating service failure trends or process improvement opportunities to team and managers to better meet customer needs.

• Facilitates the enrollment and implementation process by : conducting local and regional enrollment meetings to win new and retain current customers;
• applying standard and non-standard protocols to serve as an advocate for customer needs during the membership enrollment and implementation process independently;

and supporting efforts across teams in the overall implementation or renewal process of health plan membership, including research, presentation, preparation, reporting and training coordination independently.

• Contributes to the development of sales strategy by : designing plans for new products, benefits offerings, or pricing models to address customer needs independently;
• utilizing comprehensive foundational knowledge of health care market to analyze industry trends, and competitor products, offerings, and pricing models to provide lessons learned and strategic recommendations independently;
• executing an account plan to meet standard and non-standard business objectives for membership, revenue and margin; collecting and analyzing performance data to inform account strategy and identify and escalate potential issues;

and utilizing marketing and technical resources to achieve account plan objectives.

• Contributes to sales goal attainment by : collaborating with the team to find new opportunities to grow customer base to new or growing markets;
• maintaining the prospect database and targeted prospect profiles to inform strategic planning; collaborating within the team to contribute to product and plan design, quote, and Request for Proposal (RFP);

providing standard and non-standard recommendations to the team to inform forecasting and pricing independently; and implementing standard and non-standard protocols to increase cross-sell and up-sell opportunities.

Minimum Qualifications :

Bachelors degree in Marketing, Finance, Business Administration, or related degree AND two (2) years of experience in marketing, business development, managing business-to-business relationships, or directly related field OR minimum five (5) years of experience in marketing, business development, managing business-to-business relationships, or a directly related field.

Additional Requirements :

• Knowledge, Skills, and Abilities (KSAs) : Corporate Partnerships; Storytelling; Negotiation; Product Strategy; Sales Opportunity Orchestration;
• Sales Performance Data; Sales / Partnership Strategy and Techniques; Business Planning; Business Process Improvement; Event Planning;
• Compliance Management; Creativity; Data Entry; Benefits / Services; Benefits / Services Presentations; Interpersonal Skills;

Brand Strategy; Commercial Marketing; Business Development; Clinical Selling Expertise; Sales Operations; Goal Setting; Member Service

Bilingual (English / Spanish) Level I or II required.

Notes :

Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.

Preferred Qualifications :

• Two (2) years of experience in the health insurance industry.
• Two (2) years of experience in health plan enrollment or a directly related field.
30+ days ago