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Retention Field Representative

Role overview

Qualifications

  • High School Diploma or GED required
  • 1 year healthcare related experience preferred
  • 1 year of customer service or sales experience preferred
  • Associates or Bachelor's Degree preferred

Responsibilities

  • Retain current membership in an assigned territory
  • Conduct telephonic and field outreach, including community events and home visits
  • Provide member resolution by researching and documenting inquiries regarding program eligibility
  • Develop and maintain relationships with existing members

Key facts

Hard skills

Other skills

  • Customer Service
  • Quality Assurance
  • Relationship Building
  • Communication
  • Problem Solving
  • Adaptability
  • Teamwork

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Position Purpose: The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.


Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.


Candidate must reside in the Dallas, TX area.

Candidate will need to be ok with travel and working some weekends.

Experience with Medicare sales and community engagement is highly preferred.



  • Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility
  • Answer application and/or service questions regarding the programs and services in order to maintain/attract membership
  • Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments
  • Ability to meet and exceed quality assurance standards
  • Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency
  • Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region
  • Develop and maintain relationships with existing members by providing guidance and assistance throughout the year
  • Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare
  • Modify delivery skills accordingly to overcome objections and retain members
  • Identify solutions to issues and concerns
  • Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads
  • Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed
  • Input, update and create member information on databases in order to maintain customer accounts
  • Utilize computer systems to perform administrative functions such as Sales Force
  • Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.

Pay Range: $23.23 - $39.61 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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