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Peak Health

Provider-led health insurer with Medicare Advantage

Community Outreach Representative - North

Business Development & PartnershipsUpdated on Nov 10
Full-timeNo salary listed

About the Job

Requirements

  • An associate's degree in healthcare, business, marketing, or a related field and two years of experience related to Medicare Advantage, or a high school diploma or equivalent and four years of experience related to Medicare Advantage.
  • A valid driver's license.
  • Strategic thinking and attention to detail around relationships, sales, and retention.
  • Knowledge of regulations governing Medicare Advantage and DSNP sales.
  • Demonstrated ability to build and maintain relationships.
  • Proficiency with Microsoft Office.
  • Understanding of the Medicare Advantage sales process and experience working with a CRM system.
  • Ability to work in a fast-paced environment and to learn new content quickly, with knowledge of the Medicare industry and DSNP population.
  • Ability to sit, stand, walk, and use standard office equipment for extended periods.

Responsibilities

  • Develop and maintain favorable relationships with surrounding community organizations.
  • Plan and facilitate outreach activities, special events, and presentations to generate quality sales leads in support of the health plan’s sales and membership growth goals and increase awareness of the health plan’s presence in the community year-round, with greater emphasis around the AEP timeframe.
  • Coordinate event logistics, including reserving space, communication, distributing materials, facilities support, and coordination with marketing to support proper event advertising.
  • Build relationships with community influencers and gatekeepers to venues where Peak Health Medicare Sales Agents can prospect and engage with the senior population.
  • Ensure market comprehension of and adherence to Medicare marketing guidelines and compliance regulations.
  • Assist the Sales/Production Lead with certain programs involving the external agent force around sales and retention.
  • Deliver Medicare educational presentations at community events.
  • Work with provider groups on co-op marketing.
  • Track results and return on investment on local marketing and community efforts.
  • Collaborate with internal and external stakeholders to achieve intended results.
  • Work closely with the Director of Medicare on certain sales and retention programs.
  • Determine event type as defined by CMS and file events appropriately with CMS based on the Managed Care Marketing Guidelines.

Desired Qualifications

  • A WV State Health Insurance License in good standing.
  • Two years of experience in a Medicare environment, including Medicare Advantage and DSNP, with strong relationships in the Medicare industry, including community partners, gatekeepers, provider relationships, and key influencers within the community.
  • DSNP (Dual Special Needs) experience.

About the Company

Peak Health

Provider-led health insurer with Medicare Advantage

Peak Health is a provider-led health insurer operating primarily in West Virginia, linking hospitals and clinics with the insurer to align incentives and improve member care. It offers health plans including Medicare Advantage PPOs and employer-group options, such as the Peak Advantage plan designed with local doctors and health systems to ease access, billing, and communication. It differentiates itself by being locally based and provider-owned, collaborating with WVU Health System, Marshall Health Network, and Valley Health, and expanding Medicare Advantage to more counties in West Virginia and Pennsylvania. Its goal is to make healthcare more accessible and affordable for communities by reducing friction in care and billing and by expanding services to employers and self-funded groups.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Morgantown, WV
Founded
Not listed

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