Salary Range:  $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
 

Job Summary

The Health Plan Field Territory Representative II maintains professional working knowledge of L.A. Care products: Cal MediConnect, Medi-Cal, L.A. Care Covered, L.A. Care Covered Direct, and the future Duals Special Needs Plan for the express purpose of growth and retention initiatives. The position entails implementing territory-sales outreach activities such as community based marketing and events, provider outreach and engagement and other territory lead generation activities and overall lead book of business oversight. For the Medicare and Commercial lines of business, territory management/outreach and lead generation activities should be aligned to broker agents (Territory Reps can enroll as needed) in order to manage scalable and diverse territory sales resources and to leverage those agents' territory relationships and resources. This position manages their territory's lead book of business and target conversion rates including managing self-generated leads (with and without broker agents) and those provided by marketing campaigns and from the Inside Sales and Retention Team.

Duties

Provider Marketing

Sells our CalMediconnect plan and future Dual Eligible Special Needs Plan to Medicare beneficiaries residing in Los Angeles County. Responsible for selling our Medicare product through working with our network of physicians, hospitals, medical groups and other strategic relationships.

 

Outreach Activities and Events

Coordinates and conducts community presentations on program eligibility, and participates in community networking meetings, senior health care activities, health fairs and outreach events. Identifies grassroots opportunities, networking and referral generation. Develops and cultivates internal and external relationships.

 

Telesales and In-Home Appointments

Representatives are required to also engage in telesales activities meant to support Provider and Outreach activities. Representatives are asked to self-generate leads as well as work leads assigned to them by management with the express purpose of enrollment prospective members in our plans. In addition representatives are also asked to facilitate and coordinate in-home appointments for members requesting them.

 

Sales Data Management

Ensures the integrity of data. Effectively utilizes the Customer Relationship Management (CRM) system to manage the sales referral pipeline and lead algorithm assignments. Enters Data accurately by following the Goldmine and QNXT guidelines. Responsible for maintaining the quality and integrity of the CRM database through constant training on upgrades on the CRM data database. Maintains a high proficiency of the internal and external systems. Demonstrates efficient use of internal proprietary systems, including but not limited to: CISCO, QMEIS, MEIS, QNXT, PDM, MARx, Member360, and AEVS to pre-screen prospective members for all lines of business.

Duties Continued

Product Sales Regulatory Compliance:

Adheres to compliance of Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), and L.A. Care's Regulatory Affairs & Compliance regulatory guidelines.

 

Monthly and Quarterly Product Sales Performance Goals:

Consistently meets the minimum organizational and departmental enrollment benchmarks for product growth campaigns and meets minimum monthly and quarterly performance and production standards for a Level II representative. Performance and production standards may be adjusted on a monthly, quarterly or annual basis as required to meet the department goals and objectives for all lines of business.

 

Performs other duties as assigned.

Education Required High School Diploma/or High School Equivalency CertificateEducation Preferred Associate's DegreeExperience

Required:
Minimum of 2 years of field sales experience.

Preferred:
Experience in sales of  Managed Care products including Medicare Advantage, Medi-Cal and Covered California.

Skills

Required:
Excellent interpersonal and client interaction skills with strong attention to detail and accuracy.

Must possess excellent writing skills and calm/professional telephone presence. 

Ability to multi-task; flexible and comfortable working in a fast paced environment and committed to meeting deadlines. 

Great attitude, energy and enthusiasm are critical.

Proficient skills in Microsoft Word, Excel, PowerPoint and Outlook.

Preferred:
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Licenses/Certifications Required Life & Health Insurance License - Active, current and unrestricted California LicenseAmerica's Health Insurance Plan (AHIP) Medicare Designation and Covered CA Certification (Or must be obtained within 90 days from date of hire.)Licenses/Certifications Preferred Required Training

Required:
Ability to pass Medi-Cal Certification, and Medicare training certification within 90 days of hire.

Physical Requirements LightAdditional Information

Required:
Travel to offsite locations for work.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.

 

L.A. Care offers a wide range of benefits including

Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)