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 hybrid in Orange County, CA. Candidates must live in Orange, CA.The Telesales/Retention Representative is responsible for generating leads to meet and exceed individual sales production of new enrollments and help retaining existing members within company health plan(s).
GENERAL DUTIES/RESPONSIBILITIES
1. Meets and exceeds monthly goal and retention of existing members.
2. Handles inside/in-bound telephone inquiries from prospective members, providers, and other community partners seeking information regarding all lines of business
3. Directs prospects to the field sales team when needed
4. Conducts outbound calls relevant to enrollment/disenrollment campaigns, requests for information from community events, provider offices, after-hour messages, and website inquiries
5. Submits daily activity production reports and/or monthly reports as required.
6. Ensures that information and assistance provided is within the standards established by all applicable federal /state laws and regulations and Alignment Health Plan’s Compliance Department
7. Understands of new updates related to company and/or CMS and marketing guidelines required.
8. Participates with competitor analysis (SWOTs) Strength, Weakness, Opportunities and Threats within respective market(s) and/or territories as required by management.
9. Supports other projects within the Sales and Marketing Department as directed by the Management Team.
10. Other duties may be assigned.
Job Requirements:
Experience:
• Required: Minimum 1 year customer service experience.
• Preferred: Medicare Health Plan knowledge and/or health insurance background preferred.
Education:
• Required: High School Diploma or GED.
• Preferred: Bachelor's degree
Training:
• Required:
• Preferred:
Specialized Skills:
• Required:
- 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.
• Preferred: Bilingual
Licensure:
• Required: Must have active license (or have ability to get licensed within 3 months) and maintain life/health insurance license within respective selling states
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:
1 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.
2 While performing the duties of this job, the employee is regularly required to talk and listen. The employee regularly is required to sit for long period of time during Annual Enrollment Period.
Pay Range: $44,790.00 - $67,185.00Pay 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 at https://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 email [email protected].
Skills Required
- Minimum 1 year of customer service experience
- High school diploma or GED
- Solid knowledge and understanding of CMS Marketing Guidelines
- Positive, professional, and effective communication skills
- Written and oral communication skills
- Ability to establish and maintain constructive relationships with members, management, employees, and vendors
- Ability to perform mathematical calculations and simple statistical calculations
- Advanced reasoning and problem-solving skills
- Organizational and time management skills
- Ability to work in a fast-paced environment
- Active life and health insurance license, or ability to obtain it within 3 months, and maintain licensing in applicable selling states
- Medicare health plan knowledge or health insurance background
- Bachelor's degree
- Bilingual ability
Alignment Healthcare Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Alignment Healthcare and has not been reviewed or approved by Alignment Healthcare.
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Healthcare Strength — Core coverage includes multiple medical plan types with major carriers along with dental and vision. Options are described as comprehensive on paper and can include plan choice depending on role and location.
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Retirement Support — A 401(k) plan with company match is commonly offered, and some roles also receive equity via RSUs. This foundation strengthens total rewards even when base pay varies by job family.
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Leave & Time Off Breadth — PTO is offered with paid holidays, and some teams provide paid parental leave; clinical roles may include CME time and tuition reimbursement. These elements expand beyond basic medical benefits to support time away and professional development.
Alignment Healthcare Insights
What We Do
Alignment Healthcare is redefining the business of health care by shifting the focus from payments to people. We’ve created a new model for health care delivery that cuts costs and improves lives by unraveling the inefficiencies of the current system to drive patients, providers and payers toward a common goal of wellness. Harnessing best practices from Medicare Advantage, our innovative data-management technology allows us to commit to caring for seniors and those who need it most: the chronically ill and frail. Alignment Healthcare provides partners and patients with customized care and service where they need it and when they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. For more information, please visit www.alignmenthealthcare.com.
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