ISNP Engagement Executive - Wisconsin

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Job Information

Humana

ISNP Engagement Executive - Wisconsin

in

Madison

Wisconsin

Description

Are you passionate about the Medicare population? Are you looking for an opportunity to directly help impact the positive outcomes of services provided to this community? If so, the Institutional Special Needs Plan (ISNP) Engagement Executive builds rapport with long-term care facilities.

Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers.

Responsibilities

In this field role, through partnering closely with long term care facilities and their staff, you will lead the development of sales opportunities and build relationships with prospective and current members, families and partnering with long-term care communities. Cultivate market collaboration with providers and potential members by meeting member enrollment and retention goals for the plan. Building rapport with leadership and staff through daily regular on-site interactions, promotion, and education to support individual and team enrollment goals.

This role is responsible for executing a successful sales and engagement plan that includes the following key aspects:

Promote and educate prospective members and their representatives, both in group and individual settings

Engage in member retention by inquiring and proactively communicating with teammates and partnering facilities

Deliver on production goals and performance standards

Meet with prospective enrollees and their families in their long-term care facility to facilitate sales presentations and enrollments

Comply with all state and federal regulatory guidelines by adhering to sales and marketing requirements.

Collaborate with Humana Provider Engagement Executive(s) to effectively engage and promote Humana's ISNP products

Conduct facility visits and personalized appointments as needed to complete the enrollment process

Assist members in accessing health care by facilitating the resolution of member issues as they occur

Manage metrics/performance reporting

Comply with CMS marketing and sales guidelines and regulations and with Humana standards

Conduct group and/or individual sales presentations and enroll eligible prospects and their representatives in long-term care facilities

Responsible for following up on leads, identifying and attending community outreach events for Medicare eligible participants, establishing relationships and present opportunities with post-acute provider groups, hospitals, and clinics, and for self-generating leads

Comply with policies and procedures pertaining to disclosures and provisions of Medicare SNP programs and enrollment and disenrollment processes

Requirements

Active Health Insurance License in the required state or ability to obtain prior to start date

Bachelor's degree in business or marketing or equivalent work experience, specifically business to business settings, conducting consumer prospecting and enrollment functions.

Prior experience educating and supporting prospective and current member's pre-enrollment and post-enrollment through both written and verbal communication skills.

Experience with technology to include Microsoft Office Suite products with a high-level use of laptops and mobile phone applications with an understanding of CRM tools or other sales/marketing resources

Experience working with covered benefits, non-covered benefits, exclusions and exemptions of Medicare products and programs includes providing enrollees with all corresponding materials.

This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

Preferred

Experience with Medicare and Medicare Advantage, specifically Institutional Special Needs Plans (ISNP) Prospective Membership Population and long-term care industry standards and guidelines strongly preferred.

Experience in ISNP Account Management and Sales Production.

Experience supporting new long-term care facilities with training, customer service support, or onboarding activities.

Knowledge of Medicaid programs in territory, including Institutional Medicaid qualifications and process.

Bilingual with the ability to speak, read and write in both English and Spanish or additional languages without limitations or assistance

Additional Information

Upon offer acceptance, candidates must be able to complete and pass the AHIP certification (paid for by Humana)

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency, and will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Schedule

Travel within the assigned territory at least 50% of the time and ability to work beyond normal working hours, on weekends and holidays, when necessary to meet long-term care facility and prospective member and representative's schedules. Occasional overnight stays will be required at times with field-based assignments. Flexibility is essential to your success.

*Humana Perks:   *

Full time associates enjoy   

Base salary with a competitive commission structure  

Medical, Dental, Vision and a variety of other supplemental insurances  

Paid time off (PTO) & Paid Holidays  

401(k) retirement savings plan with a competitive match  

Tuition reimbursement and/or scholarships for qualifying dependent children

And much more! 

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected to move forward in the process, you will receive an email correspondence inviting you to participate in a Modern Hire prescreen. In this prescreen, you will receive a set of questions over the phone and be given the opportunity to record your audio responses to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com