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Licensed Medicare Sales Representative

Careers Integrated Resources Inc New York, NY (Onsite) Contractor
Job Title – Licensed Medicare Sales Representative
Locations – New York, NY 10004
Initial Duration – 3+ months (with possible extension)

Pay Range - $30 - $34/hr. on w2
 
Shift Time- 9 am – 5:00 pm. Hours May Vary due to business need
 
Schedule Notes:
  • Medicare Sales Representative - Field Position - Hours May Vary due to business need - NYS Life Insurance is needed
  • No reimbursable expenses
  • Bilingual candidates preferred (Spanish, Haitian Creole, or Russian Medicare Sales Representative Position Identify and enroll eligible individuals into Client’s Medicare plan through outreach and education. Conduct home visits and community presentations at hospitals, senior centers, and other sites.
  • Explain plan benefits, coverage, and exclusions while ensuring compliance with marketing and regulatory guidelines.
  • Complete enrollment applications and reports accurately and on time.
  • Collaborate with internal teams to resolve member concerns and maintain strong relationships with community organizations and regulatory partners.
  • Support members with access to care, transportation, and related needs.
 
Duties:
  • The primary function of the Quality Management Outreach Specialist is to provide support for internal and external requirements related to improving Client Health Plan’s quality performance in its programs. This includes supporting processes related to collecting, maintaining and compiling data received for incorporation into Plan reporting.
  • The position serves as a Quality Management member liaison, working to address member’s needs.
  • The primary focus is outreaching to members to administer a Health Risk Assessment (HRA) and subsequently responding to identified needs, data entry of assessments, maintenance of tracking process and reports, and implementation of treatment plans by linking member to appropriate clinical and social services.
  • This position will support additional ad-hoc outreach efforts to both members and providers to assist with connecting members to clinical services. Product of Role & Responsibilities:
  • Administer Health Risk Assessment to members as needed.
  • Handle requests for care coordination, assessing the request, the member’s needs, and facilitating appropriate interventions and follow up.
  • Maintain accurate and complete documentation of required information in compliance with risk management and regulatory requirements.
  • Assist member with basic benefit information.
  • Assist members with appointments for specialists, educational classes, and transportation.
  • Perform data entry of medical information; maintain tracking process and reports.
  • Assist Quality Management personnel to coordinate members’ appointments, equipment, social services, and home health needs.
  • Participate in team meetings.
  • Attend Client events whenever required.
  • Promote communication with the Care Management team and other internal departments to ensure members receive needed services and to foster member satisfaction.
  • Alert the appropriate Team Lead when members share clinical issues that need to be addressed.
  • Comply with all orientation requirements, annual and other mandatory training, organizational and departmental policies and procedures and actively participate in the evaluation process.
  • Share observations and provide feedback regarding workflow to ensure continuous quality improvement.
  • Maintain professional competences as a Quality Management Outreach Specialist.
  • Perform other duties as assigned
 
Skills:
  • One year of managed care experience preferably in Care Coordination Experience working with the health needs of the population served.
  • Experience as a Medical assistant or Licensed Vocational Nurse is a plus.
  • One or more years of experience in the medical field. Managed Care Experience a plus.
  • Strong customer service skills to coordinate service delivery including attention to members/caregivers, sensitivity to concerns, proactive identification and rapid resolution of issues to promote positive outcomes for members.
  • Demonstrated ability to communicate effectively, problem solve and work effectively with people.
  • Bilingual candidates who are fluent in Spanish, Haitian Creole and/or Russian are strongly preferred.
  • Working knowledge of medical terminology and abbreviations. Proficiency with computers navigating in multiple systems and web-based applications.
  • Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive.
  • Good interpersonal skills/team skills
  • Understanding and appreciation for confidentiality
  • Ability to work in a fast-paced environment
  • Excellent time management and organizational skills
  • Ability to prioritize and manage changing priorities under pressure
  • Must know how to use Microsoft Office applications including Word, Excel, and Outlook.
 
Professional Competencies:
  • Integrity and Trust
  • Customer Focus
  • Functional/Technical/Analytical Skills
  • Teamwork
  • Written/Oral Communications
 
Licenses:
  • New York State Accident & Health Insurance Broker License (NYS Life Insurance License also required)
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Job Snapshot

Employee Type

Contractor

Location

New York, NY (Onsite)

Job Type

Sales

Experience

Not Specified

Date Posted

10/27/2025

Job ID

25-64136

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