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Navicare Inside Sales Reprsentative

Fallon Health
United States, Massachusetts, Worcester
10 Chestnut Street (Show on map)
Sep 08, 2025

Navicare Inside Sales Reprsentative
Location

US-MA-Worcester



Job ID
8078

# Positions
1

Category
Other



Overview

The Inside Sales Representative position is working M - F 9:30 am to 6 pm; mostly working from home but may require some training in our Worcester office. This is an excellent opportunity for someone with a customer service or call center background. This position will require working in a phone cue with mostly inbound calls and talking with potential members for one of our senior plans. Sales experience is not required. This is a non-commition role.

About us:

Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation's top health plans for member experience, service, and clinical quality.

Fallon Health's NaviCare is a program for people age 65 and older, who live in our service area, and who have MassHealth Standard, and may have Medicare. It combines MassHealth (Medicaid) and Medicare benefits, including prescription drug coverage. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.

Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE- in the region.

Brief Summary of Purpose:

The primary responsibility of the Inside Sales Representative is to maximize productivity of the Sales team by executing sales and marketing techniques and to assist with the growth and retention of NaviCare membership. Ensure maximum individual and team sales productivity and effectiveness through telephone sales via both outbound and inbound calls. Additional responsibilities include targeting key sales opportunities through lead generation for the outreach team. The result of this position is to help streamline and improve sales tactics and quality of reporting.



Responsibilities

Job Responsibilities:

    Primarily responsible for management of NaviCare Marketing ACD Line.
  • Demonstrate strong sales skills and willingness to "own" a prospect from start to finish by making contact with an interested prospect, engaging them, and continuously working with them to their final stage of enrollment.
  • Generate written correspondance and sales packets for prospects as requested. Maintain a personal touch in all correspondance and communication with prospects.
  • Effectively manages CRM lead entries, taking responsibility for both new and pending leads over 30 days old, through continuous attempts to contact the prospect to engage them with the product and fulfilling prospect requests (i.e. scheduling home visits with an Account Executive, mailing an information packet, etc.)
  • Handle all BRC leads by mailing out Sales Kits and following up with an outbound call to promote 1-1 or home visit appointments for the Outreach Executives.
  • Work very closely with team members to solve customer problem. Offers solutions and suggestions for process and product improvement to management. Determine, understand and meet the prospect needs.
  • Work closely with the NaviCare Government Programs Eligibility team, Aging Service Access Points (ASAPs), and clients to efficiently enroll MH/FEW applications.
  • Comply with Corporate, CMS and department policies and procedures and adhere to regulatory guidelines including Medicare, HIPAA, and Fallon Health patient confidentiality.
  • Conduct NaviCare telephonic enrollments in accordance with CMS requirements.
  • Partner with the sales outreach team on external sales opportunities by attending community event and sales activities. (I.e. Health Fairs, Sponsorship events and Information Tables.)
  • Build relationships with appropriate partners at local Senior Centers, Housing authorities and Nursing Homes. Drop by regularly to ensure all marketing materials are available and promote referrals and lead generation.


Qualifications

Education:

Bachelor's degree or equivalent combination of education and experience

License/Certification:

  • Annually, required to pass a product certification exam
  • Annually, required to take the AHIP certification

Experience:

  • 3 years' experience in sales or service environment
  • Previous experience coordinating sales activities and events as well as providing support in the field.
  • Strong knowledge of Microsoft Office products
  • Demonstrate strong customer service skills and willingness to "own" a prospect from start to finish

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.



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