Highly Motivated Marketing Sales and Retention Consultant with over 10 years experience in the Healthcare Industry. Proven success exceeding goals. Retaining members and an exceptional reputation for member satisfaction.
Overview
15
15
years of professional experience
Work History
Senior Retention and Marketing Sales Consultant
US Family Health Plan
02.2012 - 08.2023
Partnered with operations management to define performance goals, objectives and corresponding KPI's then lead implementation efforts
Responsible for ensuring operational compliance and quality to drive retention and reduce grievances while focusing on continuous improvement in all areas
Educated TRICARE Prime members and providers regarding the procedures of the plan
Performed direct sales to TRICARE eligible beneficiaries to grow and exceed membership goals
Completed enrollments over the phone, email and walk in and served as subject matter expert on all aspects of TRICARE benefits and policies
Managed several projects to improve sales campaign effectiveness and outreach to beneficiaries
Building great relationships with members and others within the organization to help promote and exceed the goals of the organization
Conducted New Member Webinars via zoom to educate new members of their TRICARE Prime benefits and held Q&A sessions twice a month
Answered inbound Marketing calls with exceptional customer service that lead to members enrollment
Handled administrative duties such as processing enrollments via mail, managing Marketing materials and inventory
Assisted field reps with enrollment applications and PCP selections for new members
Respond effectively and appropriately to issues and complaints via verbal or written response based upon knowledge and/or interpretation of plan operations, policies, procedures, benefits, independent research or in collaboration with internal or external resources
Obtained Level 2 Security Clearance from DOD
Documented information in CRM (Salesforce) to be used to improve Marketing and Sales strategy and improve member satisfaction
Member. and Provider Services Specialist
Healthplus New York
01.2009 - 01.2012
Interpreted contracts and service level agreements to ensure consistent and compliant program delivery
Aggressively researched and investigated system issues, workflows and other aspects of program delivery to innovative solutions, workarounds and best practices for member pain points until resolutions were achieved
Ensure excellent customer service for both members and providers
Answered large volume of calls
Effectively communicated using customer friendly and appropriate language to explain members bills, benefits and claim inquiries
Exceeded quality control/satisfaction records for thousands of calls
Provided backup to the onsite manager responsible for a staff of 28
Promptly handled an average of 85 members inquiries per day with a 96% satisfaction rate
Documented member interaction on a CRM to improve member satisfaction and first call resolution
Developed and implemented member service policies and procedures to streamline processes
Implemented customer service training programs to ensure customer service representatives are knowledgeable and up-to-date on Medicaid benefits and services
Education
A.A.S - Business Administration
City College of New York
Skills
Ability to work on a team
Time Management
Leadership Skills
Project Management
Organized and Resourceful
Detail Oriented
Goals Driven
Client Meetings
Analyzing Data
Promotions and Marketing Strategies
KPI Monitoring
Inbound and Outbound Marketing
Customer Preferences
Marketing and Distribution
Data Collection Processes
Sales Reporting
Salesforce Development
Lead Generation Campaigns
Interpersonal Communication Skills
Telesales Background
Accomplishments
Achieved over 100 enrollments annually by implementing different marketing and outreach initiatives.