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Fallon Health Account Manager Sales Rep - bilingual preferred - Mandarin or Cantonese or Russian - Growing Healthcare Organization in Worcester, Massachusetts


About Fallon Health :

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit.

About NaviCare :

Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options program. Navicare integrates care for adults age 65 and older who are dually eligible for both Medicare and MassHealth Standard. A personalized primary care team manages and coordinates the NaviCare member’s health care by working with each member, the member’s family and health care providers to ensure the best possible outcomes.

Position Overview:

Fallon Health’s NaviCare product is already a thriving and successful Medicare and MassHealth Standard offering with services throughout the state. This is a fantastic opportunity for a sales professional already specializing in Medicaid, Medicare or Insurance Product sales that’s looking to make a rewarding impact on helping Fallon build a membership base in a new region. What may make this even more attractive for the right individual is you can be based remote out of your home office! This of course takes a unique disciplined sales professional who thrives on autonomy and independence but we will provide plenty of support and occasional trips to the corporate office in Worcester. Come help us grow and become a rock star opening a new territory.


  1. Relationship Building
  • Creates productive and collaborative relationships with internal and external referral sources in order to obtain qualified referrals and enrollments for the NaviCare program.

  • Participates in community outreach activities, such as senior fairs, community events, and elder services professional association events.

  • Presents the NaviCare program to groups who are likely prospects, caregivers and community referral sources.

  • Develops and implements their own Territory Development Plan, and carries out activities to penetrate accounts listed on the plan

  1. Secure Applications
  • Generates sufficient NaviCare enrollment applications to meet monthly enrollment goals.

  • Explains the NaviCare program clearly and consistently to prospects and their families to ensure that prospects enroll with a solid understanding of the program and will remain members. Meets with NaviCare prospects in their homes.

  1. Tracking & Reporting
  • Documents all sales activities in the department’s CRM application in a timely manner.

  • Meets weekly sales activity deliverables consistently, and tracks these in the CRM and their Outlook calendar.

  • Maintains records of NaviCare applications and documentation related to scope of appointments.

  1. Assessment
  • Regularly reviews effectiveness of efforts against goals. Provides market intelligence to the NaviCare/SE Manager and the Marketing director so that adjustments can be made to tactical plans

  • Manages their own professional development by seeking advice, training, and coaching from their colleagues, manager, and the Director of Outreach.

  1. Regulatory Guidelines
  • Operates within the marketing and outreach guidelines and regulations provided by CMS and EOHHS..

  • Retains Scope of Appointment and other Enrollment Records.

  • Submits information on NaviCare prospect events to Outreach Support in a timely manner, for CMS submission.

  • When in doubt, asks questions pertaining to compliance or privacy regulations.


Education, Licenses, certification and experience requirements:

Education : BS or BA degree and/or comparable experience

License: Massachusetts Driver’s License



  • 3 years of sales experience in healthcare or group insurance strongly preferred.

  • Must have proven experience working in a customer facing role focused on sales, lead generation in a high paced customer service or sales environment.

  • Knowledge of Medicare, Medicaid and insurance products is desirable.

  • Knowledge of customer service, sales, outreach and marketing principles and practices.

  • Possession of a valid Mass. driver’s license and a vehicle to be used for marketing activities and home visits.


Job ID 5767

# Positions 1

Category Sales