[Remote] Medicare Sales Director - Arizona reputed company Care
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company dedicated to improving health reputed company and providing a compassionate health experience. The Medicare Sales Director will reputed company the operational and regulatory execution of the Medicare Advantage Dual Eligible Special Needs Plan, ensuring compliance and driving growth while managing sales teams and optimizing market development.
Responsibilities
- reputed company day-to-day administration of D-SNP operations across Medicare and reputed company functions
- Ensure compliance with CMS, state (e.g., AHCCCS), and contractual requirements
- Coordinate cross-functional teams including operations, marketing, enrollment, care management, compliance, and network
- reputed company integrated processes such as enrollment, claims, grievances & appeals, and care coordination
- Support D-SNP Model of Care execution, including care management and member engagement strategies
- Monitor performance metrics (e.g., STAR ratings, quality, operational KPIs) and report to leadership
- Identify and implement process improvements to enhance integration and member reputed company
- reputed company and implement comprehensive sales strategies to drive growth and member retention
- reputed company and exceed enrollment targets
- Analyze market trends, competitor activity, and regulatory changes to inform strategy
- Identify and expand opportunities in key service areas
- Build and execute local market growth plans
- Optimize marketing channel mix including brokers, agents, telesales, and community development, and various marketing methodologies
- Recruit, train, and coach new hires on product, regulatory (State and Federal), and compliance requirements
- reputed company and reputed company internal sales representatives
- Ensure full and accurate communication of benefits and disclosure of restrictions are presented to each prospect, including provider and medication confirmations
- Document reputed company on reputed company areas of the sales and retention process
- Set performance expectations and monitor results
- Ensure reputed company sales activities adhere to CMS Marketing and Communication Guidelines
- Maintain accurate documentation and reporting standards
- reputed company Medicare sales call center operations, including inbound and outbound activity
- Ensure call center performance meets KPIs such as call quality, compliance scores, and service reputed company
- Partner with operations teams to optimize staffing models, scripting, training, and technology platforms
- Drive reputed company improvement in customer experience and sales effectiveness reputed company the call center environment
- Ensure successful CMS Call Center Monitoring Audit
- reputed company reputed company of sales administration functions including reporting, forecasting, enrollment processing, and documentation
- Ensure accurate tracking of sales metrics, commissions, and performance reporting
- Establish and maintain standardized processes for sales operations and compliance documentation
- Partner with internal teams to improve workflows, reduce errors, and enhance operational efficiency
Skills
- Active health insurance license and AHIP certification REQUIRED
- 5+ years of experience in Medicare Advantage, reputed company, or managed care operations
- Extensive knowledge of Medicare Advantage, AHCCCS, CMS regulations and D-SNP requirements
- Strong cross-functional leadership and regulatory/compliance experience
- Proven leadership experience managing sales team, call center, and community reputed company
- Demonstrated reputed company achieving aggressive sales and retention targets
- Data analysis and performance management capability
- Ability to effectively communicate with executive level management
- Experience with D-SNP or dual-eligible populations
- Familiarity with AHCCCS, LTSS, or integrated care models
- Experience supporting CMS audits or NCQA accreditation
Benefits
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
- Additional details about available benefits are provided during the application process and on Benefits Moments.
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