Manager, D-SNP Sales

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.

Work Culture:

GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work - Together.

GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).

GCHP's focuses on 5 Core Values in the workplace:

* Integrity

* Accountability

* Collaboration

* Trust

* Respect

Disclaimers:

* Flexible work schedule is based on job duties, department, organization, or business need.

* Gold Coast Health Plan will not sponsor applicants for work visas.

POSITION SUMMARY

The Medicare DSNP Sales Manager executes Gold Coast Health Plan's (GCHP) Medicare DSNP sales and enrollment operations to grow GCHP's enrollment in compliance with all applicable state and federal regulatory requirements, GCHP policies and procedures, and business requirements, and in support of organizational objectives. The incumbent provides leadership, coaching, and direction to sales staff across all sales channels and is responsible for the launch and operationalization of the Duals Special Needs Plan (D-SNP) product. The incumbent will provide training to internal and external stakeholders, track and provide updates on key performance indicators, and ensure the use of proven best practice for achieving outcomes and regulatory compliance.

Amount of Travel Required: 15-20%

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS

Job Function & Responsibilities

* Providing strategic management in executing the GCHP Medicare sales programs and assist with the marketing program as needed.

* Monitoring the sales distribution channel and ensures programs are in compliance with CMS guidelines.

* Performing regular sales coaching sessions with each sales agent to review their performance and if necessary, provide guidance on ways to reach their goals.

* Ensuring team members meet organizational standards for lead/funnel management and disposition.

* Ensuring team members meet established requirements for call overflow program participation as needed by the organization.

* Leading the outreach efforts to community organizations and working with sales agents to identify and negotiate partnerships or collaboration opportunities.

* Managing sales system and CRM functionality capabilities, acting as a business owner for the sales system, and collaborating with vendor management.

* Conducting analysis on sales retention activities, presents tactics/initiatives on retention to increase membership and member experience, and accountable for all retention related work.

* Working cross-collaboratively with diverse staff in teams, working groups, members, doctors, elected officials, community partners, and vendors while maintaining and upholding a professional demeanor and representing the Alliance at interviews, special events, official functions, meetings, and when conducting research.

* Maintaining overall creative playbooks, workplans, dashboards, and other project management capabilities to determine effectiveness of plans and activities to ensure on-time production.

* Identifying opportunities and conducting trainings to increase the sales, marketing, communications, retention, and brand awareness and knowledge of the organization, while collaborating with leadership, training and other resources.

* Creating policies, standard operating procedures (SOPs), productivity standards, roadmaps, reporting, and key performance indicators (KPIs), and performance evaluations in a timely manner.

* Stays up to date and proficient in understanding CMS and State guidelines and regulations.

* Maintains basic knowledge of the business, economic, demographic and political trends and developments affecting healthcare in general, and sales and marketing in particular.

* Manages small to extra-large level initiatives which may require coordination with external partners.

* Provides support to the Project Management Office (PMO) and various enterprise-wide activities based on availability.

* Organizes and facilitates sales and retention project-related meetings, as necessary.

* Works effectively independently as well as part of a team and supports team decisions.

* Manages all sales department staff and processes, from lead generation to enrollment and retention, and ensures the team adheres to all new member enrollment policies and procedures as established by leadership, CMS, and the Compliance Department.

MINIMUM QUALIFICATIONS

Required Education & Experience:

* Bachelor's degree in a related field of study

* Minimum of 5 years of Medicare Advantage sales experience

* Minimum of 3 years supervisory experience

* At least one year experience with the Medi-Cal program

* Bilingual in English and Spanish

* Experience with the Medi-Cal program

* Strong oral and written communication skill as well as ability to present to individuals or groups

* California Life, Accident and Health Insurance License, or the ability to obtain within 60 days of employment

Equivalent In lieu of degree: At least 4 years of equivalent training and/or experience

KNOWLEDGE, SKILLS & ABILITIES

Preferred Qualifications:

* Medicare supplemental benefits (Dental, Vision, Hearing, etc.) experience strongly preferred

* CMS filling and audit experience strongly preferred

* Experience in project management, program management, or product development preferred

* Utilize computer and appropriate software (e.g. Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to product correspondence, charts, spreadsheets, and/or other information applicable to the position as required

* Excellent people skills with the ability to interact with diverse individuals and flexibility to customize approach to meet all types of employee and member communication styles and personalities

* Ability to work independently

* Ability to lead effectively in a matrixed environment

* Good territory and funnel management oversight skills

* Strong ethical foundation and trustworthy character with the ability to maintain confidentiality related to sensitive matters

* 15% to 25% occasional travel required

Competency Statements

* Business Acumen - Ability to grasp and understand business concepts and issues.

* Decision Making - Ability to make critical decisions while following company procedures.

* Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.

* Interpersonal - Ability to get along well with a variety of personalities and individuals.

* Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

* Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

* Consensus Building - Ability to bring about group solidarity to achieve a goal.

* Relationship Building - Ability to effectively build relationships with customers and co-workers.

* Presentation Skills - Ability to effectively present information publicly.

* Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.

* Judgment - The ability to formulate a sound decision using the available information.

* Communication, Oral - Ability to communicate effectively with others using the spoken word.

* Communication, Written - Ability to communicate in writing clearly and concisely.

* Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.