Medicare Sales Representative II

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.Position OverviewThe Medicare Sales Representative II provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Sales Representative II is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Sales Representative II provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.Work Shifts9:00 A.M - 5:00 P.MDuties & ResponsibilitiesIdentify prospective enrollees and determine eligibility for participation in MetroPlusHealth's Medicare product.Understand and apply all policies and procedure pertaining to: Disclosures and provisions of the MetroPlusHealth Medicare product.Enrollment and disenrollment.Conduct home visits, and personalized appointments as needed to complete the enrollment process.Market MetroPlusHealth Medicare line of business on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated.Understand the covered benefits, non-covered benefits, exclusions, and exemptions.Educating enrollees on all aspects of the Plan, as well as answering questions regarding Plan's features and benefits.Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies-this includes providing enrollees with all corresponding materials and documentation.Complete applications and field reports such as Presumptive Eligibility reports, and personnel forms (time sheets, expense reports, etc.) in a timely and accurate manner.Work closely with the Outreach Representatives, Customer Service Representatives Eligibility Representatives and other MetroPlusHealth personnel to resolve member concerns regarding complaints and potential enrollments or disenrollments.Establish and maintain a positive working relationship with facility and site staff community and provider organizations, as well as City and State regulatory agencies.Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members.Conduct and participate in telemarketing/outreach efforts as required.Provide detailed reports of production and outreach activities.Develop a presence in the local community to help generate enrollments.Making presentations to large groups of seniors.Required to complete Annual Medicare TrainingMinimum Qualifications1. Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department; and2. Possession of a High School diploma or evidence of having satisfactorily passed a High School Equivalency Program; and,3. Satisfactory completion of training and orientation administered by MHP personnel; and,4. One year of experience in direct consumer contact, sales and/or social services; or,5. A satisfactory equivalent combination of education, training, and experience. However, all incumbents must possess the required licensure as described in oneabove.6. Knowledge of a second language may be required.For appointment to Level II:1. One year of experience in Assignment Level I or one additional year of experience asdescribed above.For appointment to Level III:1. One year of experience in Assignment Level II or two additional years of experienceas described above.Special Notes:Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department must be maintained in order to remain in thisposition. Possession of a valid New York State Drivers License may be required.The use of this position is restricted to MetroPlus only.

Created: 2026-04-02