Job Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”

The Inside Sales Representative is responsible for performing telesales functions to educate, qualify, and ultimately sell Government Programs products to beneficiaries. Products include the Medicare Advantage plans Medicare Supplement plans, Medicare Prescription Drug Plans (PDP), Individual Commercial plans and other products within the scope of this position.

The incumbent will participate in sales and marketing activities designed to meet individual enrollment and retention goals as assigned while ensuring that prospective members are making informed choices about their health care coverage.

The Inside Sales Representative is responsible for developing and maintaining a cooperative relationship with all staff to achieve goals and works closely with the Manager of Government Programs Inside Sales to ensure timely and appropriate follow-up to lead inquiries.

The incumbent must abide by the Centers for Medicaid and Medicare Services (CMS) guidelines and all Federal, State, and local policies and regulations governing sales and marketing activities.

Responsibilities and Qualifications

• Interact with customers by telephone to qualify prospective members and provide education on health coverage options as well as discuss important enrollment periods and Capital products and potential out-of-pocket costs. Employ sales techniques to complete the sale or offer additional ways to learn more.
• Meet established production quotas in terms of enrollment, retention and close rate to assigned goal. Complete member retention activities and other activities as directed.
• Maintain current licensure and certifications as required by CMS, applicable the state law, and Capital to sell Capital products and services.

Skills:

• Excellent verbal and written communication skills.
• Demonstrated PC software skills, preferably Microsoft Office Suite. Ability to complete data entry requirements for lead management in corporate CRM tool.
• Ability to establish rapport and engage in consultative selling.

Knowledge:

• Demonstrated knowledge of Medicare and the Commercial Individual market to include election periods, benefit coverage designs, eligibility, and prescription drug plans.
• A sound understanding of Medicare and Individual product offerings to include the inter-workings of the financial, benefit delivery, provider and servicing capabilities, provider and pharmacy networks, and formularies.

Experience:

• 1-3 years' experience required in healthcare related business, with a minimum of 1 year experience with managed care plan offerings.

Education and Certifications:

• High school diploma or GED.
• Must acquire within 60 days of the start of employment, and then maintain all state(s) licensure, certification, and appointment qualification to sell products through Capital’s service areas.

Work Environment:

• Working environment includes typical office conditions. Incumbent would also be responsible for carrying materials for sales activities, seminars, and one on one appointments.

Physical Demands:

• Sedentary work involving significant periods of sitting, talking, hearing, keying and performing repetitive motions.
• Work requires visual acuity to perform close inspection of written and computer-generated documents as well as a PC monitor.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.