Job Description

Job Description

Job Description

Reporting to the Sr Manager, Sales and Retention, the Medicare Telesales Representative is responsible for San Francisco Health Plan's new Dual Special Needs Plan (D-SNP). You will connect with the underserved, Medicare-eligible individuals to review and understand their comprehensive Medicare and Medi-Cal benefits and health coverage and how our plan can meet their unique health and financial needs.

Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.

Salary: $70,000 - $82,000 per year + commission

WHAT YOU WILL DO:

• Answer incoming phone calls from prospective members, identify the type of assistance the customer needs with the goal of converting caller to a qualified lead and sale.
• Educate prospects about Medicare basics and D-SNP plan features, including extra benefits and coordination with Medi-Cal.
• Build trust and partnership with diverse members of the community, individuals with limited English proficiency and/or health literacy.
• Conduct outbound follow-ups with prospects from marketing campaigns, referral sources, events, or community partners.
• Follow up with members on questions or to review current or new products and services.
• Navigate multiple computer systems to document member interactions in real time in the EvolveNXT CRM platform, while engagement with members.
• Demonstrate knowledge of the product portfolio by addressing the needs of members, explaining the differences between products, and assisting selection of products to best meet their needs.
• Help complete the enrollment application over the phone, staying consistent with product requirements and enrollment guidelines.
• Meet the goals established for the position in performance, attendance, and consumer experience.
• Comply with all CMS and SFHP marketing and enrollment guidelines to ensure ethical and compliant sales practices.
• Meet and maintain requirements for agent licensure, appointments, and annual product certification.
• Participate in training, certification, and ongoing coaching related to sales strategy, compliance, and cultural competence.

WHAT YOU WILL BRING:

• High School Diploma/GED or 4+ years of customer service/sales experience.
• Active California Life/Health Insurance License or ability to obtain within 30 days, as well as AHIP.
• Work regularly scheduled shifts, including the training period, with the flexibility to adjust daily schedule and work overtime and/or weekends as needed.
• Basic knowledge of Medicare and Medicaid (Medi-Cal). Prior experience in Medicare, Medicare Advantage or D-SNP sales a plus.
• Bilingual in English and in one of San Francisco Health Plan's defined threshold languages (Cantonese, Spanish, Vietnamese, Tagalog and Russian) required.
• Must reside in California.

WHAT WE OFFER:

• Health Benefits
  • Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
  • Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
• Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

(Hybrid remote/in-office)

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