Verda Healthcare, Inc. is hiring in California and in Texas! We have a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for 2024. We are looking for a Broker Support Specialist to join our growing company with many internal opportunities.
Are you ready to join a company that is changing the face of health care across the nation? Verda Healthcare is looking for people like you who value excellence, integrity, caring, and innovation. As an employee, you’ll join a team dedicated to improving the lives of our Medicare members. Our vision incorporates value-based health care that works. We value diversity.
Align your career goals with Verda Healthcare and we will support you all the way.
Position Overview
The Broker Support Specialist is responsible for the overall supervision, direction, and monitoring of the marketing and sales-related activities of Verda Healthcare. This person is responsible for maintaining relationships with contracted FMOs and IPAs, as well as assist with the preparation and implementation of an annual Marketing Plan to ensure market share retention and growth in Texas, Orange and San Diego Counties. Growth, PNL, and business development a must.
Job Description
- Coordinate and maintain relationships with IPAs and FMOs in regard to achieving enrollment goals, as well as Verda’s membership objectives.
- Identify and develop relationships with individuals and organizations that influence the buying behavior of our target consumers, like Medical Groups, FMOs, Community Organizations, associations, etc.
- Understand the strengths and weaknesses of each organization and how it impacts the marketplace.
- Measure, track, and report sales productivity, quality, and effectiveness.
- Identifies, contracts, and oversees all outside Agent and Broker contractual relationships.
- Conduct sales calls with FMOs/agents to assist with any questions and visit Medical Groups and/or contracted Physicians with agents for Verda branding.
- Provides periodic sales and trending reports to the VP of Sales and Marketing.
- Promotes services to members that result in high-quality, patient-centered care that maximizes patients’ outcomes through managed care and supports a higher quality of life.
- Works closely with the Enrollment and Member Services Department to ensure that applications are processed correctly, and retention efforts are maximized.
- Conducts outreach activities in accordance with all the rules and regulations as set forth by CMS and the State of California.
- Assists in acquiring and maintaining competitive Plan Benefits and other key competitive information.
- Actively participate in community and/or professional organizations.
- Provides presentations in an educational manner to clients on the benefits and the enrollment/application process.
- Ensures the privacy and security of Protected Health Information (PHI) as outlined in the Compliance Program.
- Works closely with contracted providers and serves as the chief liaison between the health plan and contracted providers on marketing and sales-related issues.
- Other duties as assigned to insure the continued growth and viability of Verda Healthcare.
Minimum Qualifications
- Bachelor’s degree in marketing and sales, related field, or equivalent education required, Master’s degree preferred.
- Minimum of three (3) years’ experience in the field of managed healthcare care including Medicare or Medi-Cal, and commercial marketing and sales management.
- Minimum of three (3) years of managed health care managerial experience.
- Excellent verbal and written communication skills, plus strong organizational skills with the ability to plan, prioritize and multi-task as well as the ability to make articulate presentations in a public forum is required.
Licensure And/or Certification Required
- CA Life, Accident, and Health license
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional/Technical Skills
- Written/Oral Communications
- Critical/Analytical Thinker
- Competitive goal oriented in Healthcare Sales
PHYSICAL DEMANDS
- Regularly sit/walk at a workstation in an office or cubicle setting. Must occasionally lift and/or move up to 25-50 pounds.
*Other duties may be assigned in support of departmental goals.