Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

* Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

* Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

* Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

* Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

JOB SUMMARY

The Manager, Sales Effectiveness Control/Measurement is responsible for developing and implementing a streamline approach to on-going quality improvement, compliance audits, and commission processing to drive operational efficiency and cost-effectiveness. Supports sales operations monitoring to ensure process are compliant. Works directly with the compliance team to create and maintain policies and procedures for the sales department. Act as in operational overseer of inter-department processes and projects that directly impact sales. This position will report to the Vice-President, Sales & Product and Business Development.


JOB SPECIFICATIONS AND CORE COMPETENCIES

  • Responsible for selecting, monitoring, and training on sales related systems, processes and databases in conjunction with identifying areas of improvement to ensure adherence to policies, procedures, and regulations for sales.

 

  • Assist sales teams with sales reporting and strategy for business development planning.

 

  • Oversight for commission processes and workflows, including process improvement as needed and ensuring processing of commission payments are timely in conjunction with finance and other identified business partners

 

  • Conduct monthly auditing of broker and internal sales functions and commissions; Oversight for augmentation and standardization of commission processes across products.

 

  • Monitor and analyze sales reports and data related to quality performance,compliance metrics, and commission processing to identify trends, patterns, and opportunities for improvement.

 

  • Establish an ongoing weekly collaboration with the sales leadership team for broker and sales related non-compliance concerns and/or issues identified to improve gaps and efficiencies in the sales lifecycle.

 

  • Implementation and oversight of electronic sales solutions and tools.


MINIMUM QUALIFICATIONS:

  • Education/Specialized Training/Licensure: Bachelor¿s degree in Marketing, Business or related fields or 4 years¿ in lieu of a degree and valid State Health and Life Insurance License required.
  •  
  • Work Experience (Years and Area): 5 years¿ sales experience in health insurance with a proven track record in Medicare, Marketplace, or DSNP of positive sales
  • performance
  •  
  • Management Experience (Years and Area): 1-2 years¿ experience in sales
  • operations or equivalent experience supporting sales teams
  •  
  • Software Proficiencies: Microsoft Office (Word, Excel, Outlook)


Other:

  • Experience in process improvement, preparing and delivering findings review presentations and create a plan for corrective action.
  • A deep understanding of sales process, methodologies, and best practices
  • Strong problem-solving ability; a strategic thinker
  • Presenting complex concepts, findings, and recommendations to key stakeholders in a clear and concise manner
  • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines.
  • Self-motived, sales oriented, team player with the ability to work in a fast-paced environment.
  • Exceptional organizational skills; detail oriented

Application Instructions

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