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Licensed Medicare Sales Agent
PruittHealthLicensed Medicare sales agent enrolling members in PruittHealth Premier’s Georgia I-SNP and D-SNP health plans. Supporting facility marketing, provider education, and CMS-compliant enrollment activities.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare and Medicaid regulations, with strong sales skills to drive enrollments and maintain compliance with CMS guidelines. Proficient in utilizing technology for effective communication and administrative support in health insurance sales.
Highest-signal resume keywords
Medicare/Medicaid KnowledgeLife & Health Insurance LicenseAHIP CertificationSales Closing SkillsMicrosoft Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health Insurance Sales ExperienceEnrollment Administration SupportSales Policies and Procedures ComplianceFacility AuditsMarketing Support for I-SNP and D-SNP Plans
Soft Skills
Strong Written and Verbal CommunicationOrganizational SkillsInterpersonal SkillsAbility to Work IndependentlyClear-Thinking Skills
Tools & Technologies
Web-Based Video PlatformsCompany Systems and Databases
Certifications & Qualifications
Life & Health Insurance LicenseAHIP Certification
Industry Keywords
CMS RegulationsMedicare Advantage PlansPruittHealth Code of ConductD-SNP MarketingI-SNP Plans
About the role
Key responsibilities & impact- Explain Medicare plan benefits and answer questions from potential members or their responsible parties
- Identify potential membership leads and conduct timely outreach to support enrollment
- Coordinate with sales leadership to enroll residents into ISNPs and DSNPs
- Provide enrollment administration support with sales administration management
- Use sales closing skills to drive enrollments and maintain a strong close rate
- Follow sales policies and procedures and update company systems and databases for referrals and enrollments
- Learn and apply Centers for Medicare & Medicaid Services rules and regulations
- Meet with potential members or responsible parties, compare existing and plan benefits, and provide enrollment-process assistance
- Participate in facility marketing events in accordance with CMS guidelines
- Send monthly lists of upcoming enrollees to facility and agency contacts
- Ensure member interactions comply with CMS regulations
- Conduct monthly facility audits using the provided checklist
- Manage a geographic territory of participating nursing facilities and counties for D-SNP marketing and enrollment
- Provide marketing support, facility and community events, and provider education for I-SNP and D-SNP plans
Requirements
What you’ll need- Bachelor's degree required
- 2 years of health insurance sales experience preferred
- Life & Health Insurance License required by law
- AHIP Certification and licensure to sell Life and Health insurance in required states preferred
- Ability to maintain health insurance licensure and state continuing education requirements
- Strong technological and computer skills, including Microsoft Office Suite proficiency
- Comfortable communicating via web-based video platforms
- Strong written and verbal communication skills and presentation ability
- Ability to work independently and productively and collaborate with a team
- Strong organizational, interpersonal, and clear-thinking skills
- Ability to synthesize complex issues into simple messages
- Knowledge of Medicare/Medicaid and nursing community dynamics
- Compliance with CMS regulations regarding Medicare Advantage Plans and PruittHealth Code of Conduct
- Willingness to travel to local meeting places and facilities within the assigned region
- Dependable transportation, current driver's license, clean driving record, and proof of insurance
- Suitable home workspace for a productive office environment
- Understanding of PruittHealth Premier Plan benefits, policies, and procedures
- Completion of annual Medicare Fraud, Waste and Abuse Training and Model of Care Training
- Georgia residents preferred
Benefits
Comp & perks- Remote work arrangement
- Full-time, first-shift schedule
- Continuing education requirements and training support
- Annual Medicare Fraud, Waste and Abuse Training
- Model of Care Training