Medicare Sales Agent

🕒 May 23

🏄 California – Remote

🏄 California – Remote

💵 $83k - $123k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🤑 Sales

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Health Plan of San Joaquin/Mountain Valley Health Plan

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1996

⚕️ Healthcare Insurance

Healthcare Insurance

Health Plan of San Joaquin/Mountain Valley Health Plan is a regional managed care organization that provides Medi-Cal (Medicaid) and Medicare Advantage coverage—including a Dual Special Needs Plan (D-SNP)—to residents in San Joaquin County and surrounding areas. The plan offers member services, pharmacy benefits, provider networks and tools, care coordination (enhanced care management), community health programs, and compliance/quality oversight (NCQA accreditation). It focuses on serving Medicaid and dually eligible populations through partnerships with local health agencies and community initiatives.

📋 Description

• Responsible for promoting and selling the Health Plan Medicare Advantage products with a focus on the Dual-Eligible Special Needs Plan (D-SNP) market. • Educate prospective members about Medicare and Medi-Cal programs. • Ensure compliance with Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services (DHCS) regulations. • Drive enrollment growth within the San Joaquin, Stanislaus, Alpine and El Dorado County communities. • Develop and execute a strategic sales plan to drive Medicare enrollments, with a strong emphasis on the D-SNP population. • Conduct one-on-one and group sales presentations to Medicare-eligible individuals, caregivers, and community organizations. • Build and maintain strong relationships with community partners, providers, and key stakeholders to identify and support eligible individuals. • Attend and host community outreach events, health fairs, and informational sessions to generate leads and increase awareness. • Maintain accurate records of sales activities, leads, and enrollments in compliance with regulatory guidelines. • Provide exceptional customer service and follow-up to ensure high member satisfaction and retention.

🎯 Requirements

• Bachelor’s degree or equivalent work experience required • At least 2 years’ experience with Medicare • At least 2 years' experience in consulting or sales • Strong understanding of Medicare, Medi-Cal, CMS, and DHCS regulations. • Knowledge of Medi-Cal and Medicare • Familiarity with CMS and DHCS compliance regulations regarding Medi-Cal and Medicare sales and marketing requirements. • Must convey outstanding listening and interpersonal skills and have the ability to effectively prioritize and execute tasks in a high-pressure environment and support strong customer service orientation. • Must exhibit mastery experience in a team-oriented, collaborative environment as a self-starter with ability to work effectively with minimal direct supervision. • Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people. • Strong oral and written communication skills, with the ability to effectively communicate complex technical issues in terms clearly understood by technical and non-technical audiences and write technical specifications. • Exemplifies excellent organizational, written, and verbal communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts. • Ability to speak and be understood in English. • Ability to handle confidential information with appropriate discretion. • Ability to write and speak Spanish - will be tested.

🏖️ Benefits

• Competitive salary • Robust and affordable health/dental/vision with choices in providers • Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays) • CalPERS retirement pension program, automatic employer-paid retirement contributions, in addition to voluntary defined contribution plan • Two flexible spending accounts (FSAs) • Employer-Paid Term Life and AD&D Insurance • Employer-Paid Disability Insurance • Employer-Paid Life Assistance Program • Health Advocacy • Supplemental medical, legal, identity theft protection • Access to exclusive discount mall • Education and training reimbursement in addition to employer-paid elective learning courses. • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do. • A shorter commute – if you’re commuting from the Central Valley to the Bay Area. • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.