Remote Quality Assurance Manager Jobs in Riverside, CA

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

This position is field remote and the candidate must live in San Bernardino/Inland Empire, CA.
Candidates must be bilingual - English/Spanish.
The Sr. Territory Manager is responsible for generating leads to meet or exceed individual sales production of new enrollments and retaining existing members within company health plan(s). Builds and maintains relationships with contracted providers and community affiliates within respective market(s) and/or assigned territories; including local area marketing. Requires individual production activities on a daily/weekly basis that contribute to meeting or exceeding monthly sales, retention and lead goals in a defined territory or market(s).

GENERAL DUTIES/RESPONSIBILITIES:
1. Meets or exceeds monthly gross sales goal and retention of existing members.
2. Services, builds and maintains relationships with contracted providers and community affiliates within respective market(s) and/or assigned territories.
3. Pursues grassroots efforts thru local area marketing to self-generated leads.
4. Attends telemarketing blitzes as required by management.
5. Submits daily activity production reports and/or monthly reports as required.
6. Distributes CMS approved marketing materials to prospects, providers and community affiliates.
7. Conducts group or one-on-one presentations to prospects, providers and/or local community affiliates.
8. Understands new updates related to company and/or CMS and marketing guidelines required and be compliant with all CMS/Medicare and Alignment Healthcare guidelines.
9. Attends ongoing sales trainings and best practices with team and other departments.
10. Participates with competitor analysis (SWOTs) Strength, Weakness, Opportunities and Threats within respective market(s) and/or territories as required by management.
11. Cross trained with call center capabilities to conduct telephonic enrollments, assisted telephonic enrollments, broker support assistance, field CMS secret shopping calls, participate with inbound/outbound campaign and/or quality assurance calls on an as needed basis.
12. Other duties may be assigned as needed.

Supervisory Responsibilities:

N/A - This position has no direct employee supervisory responsibilities, however, the ability to collaborate and potentially work closely with our Network team, Member Services, Senior Ambassadors, Tele-sales colleagues to name a few is required.

Job Requirements:

Experience:

Required: Minimum 2 years of general business to business, or business to consumer sales experience and/or clinical and/or community outreach and/or provider relations.

Education:

Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education.

Preferred: MBA

Specialized Skills:

Required:

• Ability to motivate and educate providers, community affiliates, members and prospective members about company and health plan.
• Excellent public speaking and presentation skills.
• Solid computer skills (Word, Excel and PowerPoint).
• Solid knowledge and understanding of the CMS Marketing Guidelines.
• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
• Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
• Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Report Analysis Skills: Comprehend and analyze statistical reports.

Preferred: Medicare knowledge and/or health insurance background preferred.

Licensure:

Required: Must have and maintain active Life & Health insurance license within respective selling state. Additional state licensure may be required as we continue to expand our footprint. Must have a valid driver's license and reliable means of transportation to get to all sales activities and appointments.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2 The employee frequently lifts and/or moves up to 50 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range:

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER:Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission athttps://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please emailcareers@ahcusa.com.