Medicare Sales Support Associate Job at Healthfirst

Broker Sales Support Associate

Sales Support Associates are responsible for positioning Healthfirst as a social...

Location

United States , New York

Salary:

61300.00 - 99620.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

Must be able to travel 75% of the time
Experience in Sales (i.e. retails, product, etc.), Marketing and/or Community Outreach Programs
Existing Sales or Customer Service-related experience dealing with direct to consumer and/or business to business interactions either over the phone or in-person
Experience speaking with multi-level audience that can include faith-based leaders, elected officials, c-level executives, healthcare professionals, or hospital administrators, etc.
Experience managing multiple marketing events, including changing deadlines, from beginning to end
Experience working across socio-cultural and ethnic backgrounds and environments
Experience with basic Microsoft Excel functions to include sorting, filtering and maintaining spreadsheets
Experience with creating Microsoft Word documents and merging them with existing Excel spreadsheets to create email blasts, maintain event guest lists and document all tracking forms
Experience making modifications and updates to existing Power Point presentations
Must be available to work evenings and weekends (as needed)

Job Responsibility

Position Healthfirst as a socially responsible health partner
Develop and coordinate a comprehensive strategy that promotes company-wide enrollment through promotions, events, sponsorships and collaboration with like-minded partners
Work closely with Medicare Sales Managers and representatives to increase awareness, knowledge of Healthfirst’s products and services, and to also increase Healthfirst’s market-share in the territory
Identify enrollment events opportunities for seniors--individually or in groups--to promote alternative plan options
Through community marketing have a direct impact on membership growth and retention
Coordinate events, presentations and enrollment opportunities, as directed by the Sales Managers, in order to execute, plan, and coordinate resources so that they can ensure a successful event
Connect Healthfirst with community-based organizations, community health centers, NYCHA, community providers, faith-based organizations, community boards, and city agencies
Develop twenty (20) events and/or opportunities per months for the sales representatives which they support
Establish new relationships and maintain existing ones
Support the Sales and Marketing team to create educational and sales events within our target market

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Fulltime

Contracts & Pricing Execution Manager

The Contracts & Pricing Execution Manager is a key member of the Government Prog...

Location

United States of America , Thousand Oaks

Salary:

104245.70 - 141038.30 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
Master's degree and 2 years of experience in either government pricing, commercial contracting and/or pricing, finance, accounting, auditing, compliance, analytics, and/or sales operations
Bachelor's degree and 4 years of experience in either government pricing, commercial contracting and/or pricing, finance, accounting, auditing, compliance, analytics, and/or sales operations
Associate's degree and 8 years of experience in either government pricing, commercial contracting and/or pricing, finance, accounting, auditing, compliance, analytics, and/or sales operations
High school diploma / GED and 10 years of experience in either government pricing, commercial contracting and/or pricing, finance, accounting, auditing, compliance, analytics, and/or sales operations
Experience in Model N Revenue Cloud
Pharmaceutical or Biotechnology experience
Deep understanding of the US commercial and government healthcare and reimbursement environment
Strong data analysis skills, including the ability to analyze large and complex data sets, including the ability to navigate ambiguity
Solid experience solving complex business problems through implementation of process efficiencies

Job Responsibility

Responsible for calculations and submissions of pricing and payment-related activities related to Medicare, Medicaid, VA, 340B, and State Reporting
Review contracts to identify discount structures for Amgen products and prepare documents to support pricing submissions
Analyze monthly and quarterly calculation changes, including trends, variances, reconciliations, and data validation, and communicate key drivers of change to the leadership team
Execute internal control processes designed to analyze and validate data utilized with a particular focus on identifying outliers, anomalies and potential data integrity issues
Proactively identify opportunities to streamline processes, enhance analytical capabilities, improve data quality, and gain efficiencies
Assess the adequacy of the risk management, control, and governance processes associated with team functions
Document policies, procedures, risks-controls, and findings
Monitor regulatory changes and assess impacts on pricing, contracting, and payment processes
Provide input to Coverage & Pricing teams to educate on impact of contracting strategies on Government Programs
Partner with Information Systems to create and test business processes and systems that produce accurate and timely government pricing and payment results

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

Call Center Agent

Aquent is seeking a highly organized Insurance Support & Benefits Specialist to ...

Location

United States , Franklin

Salary:

14.77 - 16.40 USD / Hour

Aquent

Expiration Date

Until further notice

Requirements

High School Diploma or GED required (Associate's degree preferred)
1–3 years of professional customer service experience, ideally within the insurance or healthcare industry
Basic computer proficiency (MS Office) and the ability to learn complex case management software quickly
Strong analytical thinking, problem-solving abilities, and the capacity to work with minimal supervision

Job Responsibility

Provide expert guidance on healthcare product structures, including Medicare benefits, enrollments, and Low-Income Subsidy (LIS) assistance
Process and document cases related to prior authorizations and insurance appeals with high accuracy and adherence to program guidelines
Manage both inbound and outbound calls professionally, educating agents and customers on self-service tools and program elements
Maintain meticulous records of all contacts, events, and outcomes using internal CRM and case management systems
Consult with internal teams and external program partners to solve problems and enhance the overall service experience
Navigate and instruct users on agent support websites, complete sales orders, and fulfill requests for marketing materials

What we offer

Subsidized health, vision, and dental plans
Paid sick leave
Retirement plans with a match
Free online training through Aquent Gymnasium

Fulltime

Retail Pharmacy Technician

Retail Pharmacy Technician (Full Time, Various Shifts). Full-time including 1 we...

Location

United States , Oconomowoc

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
Good Mathematic skills
Attention to details
Good customer service, communication, organization, problem resolution and process development skills
Basic computer skills
If applicable per assigned work location and workflow scope, diabetic shoe fitting certification is required and will be obtained through on the job training

Job Responsibility

Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering
Develops competence in dispensing and delivery of medications
Develop competence in insurance and third party billing functions
Develops competence in clinical support needs such as but not limited to DIR fees
If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records
If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations
Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice
Complies with legal, regulatory, accreditation standards
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions.

Fulltime

Retail Pharmacy Technician

Location

United States , Oconomowoc

Salary:

21.85 - 32.80 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
No experience required
Good Mathematic skills
Attention to details
Good customer service, communication, organization, problem resolution and process development skills
Basic computer skills

Job Responsibility

Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering
Develops competence in dispensing and delivery of medications. This includes developing competence in the department’s us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties
Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues
Develops competence in clinical support needs such as but not limited to DIR fees
If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records
If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations
Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice
Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Parttime

Retail Pharmacy Technician

Location

United States , Oconomowoc

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
No experience required
Good Mathematic skills
Attention to details
Good customer service, communication, organization, problem resolution and process development skills
Basic computer skills

Job Responsibility

Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering
Develops competence in dispensing and delivery of medications. This includes developing competence in the department’s us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties
Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues
Develops competence in clinical support needs such as but not limited to DIR fees
If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records
If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations
Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice
Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Parttime

Retail Pharmacy Technician

Location

United States , Oconomowoc

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
No experience required
Good Mathematic skills
Attention to details
Good customer service, communication, organization, problem resolution and process development skills
Basic computer skills

Job Responsibility

Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering
Develops competence in dispensing and delivery of medications. This includes developing competence in the department’s us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties
Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues
Develops competence in clinical support needs such as but not limited to DIR fees
If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records
If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations
Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice
Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

What we offer

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Parttime

Retail Pharmacy Technician

Location

United States , Oconomowoc

Salary:

21.85 - 32.80 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
No experience required
Good Mathematic skills
Attention to details
Good customer service, communication, organization, problem resolution and process development skills
Basic computer skills

Job Responsibility

Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering
Develops competence in dispensing and delivery of medications. This includes developing competence in the department’s us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties
Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues
Develops competence in clinical support needs such as but not limited to DIR fees
If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records
If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations
Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice
Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

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Medicare Sales Support Associate

Job Description

Job Responsibility

Requirements

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