Medicare Sales Director - Arizona Mercy Care

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary 

This position is remote, but must sit in Arizona.

This role oversees the operational and regulatory execution of the Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) program. This role ensures seamless integration of Medicare and Medicaid functions, drives compliance with CMS and state requirements, and supports performance across quality, operations, and member experience. 

The position is responsible for leading and executing sales strategies to drive growth in the Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) line of business. This role oversees sales teams, broker relationships, market development, call center operations, and community development efforts to achieve enrollment targets, optimize distribution channels, and deliver a high-quality member experience. 

  

Key Responsibilities 

• Lead day-to-day administration of D-SNP operations across Medicare and Medicaid functions 

• Ensure compliance with CMS, state (e.g., AHCCCS), and contractual requirements 

• Coordinate cross-functional teams including operations, marketing, enrollment, care management, compliance, and network 

• Oversee integrated processes such as enrollment, claims, grievances & appeals, and care coordination 

• Support D-SNP Model of Care execution, including care management and member engagement strategies 

• Monitor performance metrics (e.g., STAR ratings, quality, operational KPIs) and report to leadership 

• Identify and implement process improvements to enhance integration and member outcomes 

• Develop and implement comprehensive sales strategies to drive growth and member retention 

• Achieve and exceed enrollment targets 

• Analyze market trends, competitor activity, and regulatory changes to inform strategy 

• Identify and expand opportunities in key service areas 

• Build and execute local market growth plans 

• Optimize marketing channel mix including brokers, agents, telesales, and community development, and various marketing methodologies 

• Recruit, train, and coach new hires on product, regulatory (State and Federal), and compliance requirements 

• Educate and develop internal sales representatives  

• Ensure full and accurate communication of benefits and disclosure of restrictions are presented to each prospect, including provider and medication confirmations 

• Document oversight on all areas of the sales and retention process 

• Set performance expectations and monitor results 

• Ensure all sales activities adhere to CMS Marketing and Communication Guidelines 

• Maintain accurate documentation and reporting standards 

• Oversee Medicare sales call center operations, including inbound and outbound activity 

• Ensure call center performance meets KPIs such as call quality, compliance scores, and service levels 

• Partner with operations teams to optimize staffing models, scripting, training, and technology platforms 

• Drive continuous improvement in customer experience and sales effectiveness within the call center environment 

• Ensure successful CMS Call Center Monitoring Audit 

• Provide oversight of sales administration functions including reporting, forecasting, enrollment processing, and documentation 

• Ensure accurate tracking of sales metrics, commissions, and performance reporting 

• Establish and maintain standardized processes for sales operations and compliance documentation 

• Partner with internal teams to improve workflows, reduce errors, and enhance operational efficiency 

 Required Qualifications 

• Active health insurance license and AHIP certification REQUIRED
• 5+ years of experience in Medicare Advantage, Medicaid, or managed care operations 
• Extensive knowledge of Medicare Advantage, AHCCCS, CMS regulations and D-SNP requirements 
• Strong cross-functional leadership and regulatory/compliance experience 
• Proven leadership experience managing sales team, call center, and community outreach 
• Demonstrated success achieving aggressive sales and retention targets 
• Data analysis and performance management capability 

• Ability to effectively communicate with executive level management    

Preferred Qualifications 

• Experience with D-SNP or dual-eligible populations 

• Familiarity with AHCCCS, LTSS, or integrated care models 

• Experience supporting CMS audits or NCQA accreditation 

Education

• Bachelor’s degree in healthcare, business, or related field or related experience

 Why Join Us 

• Opportunity to lead a high-impact program serving complex dual-eligible populations 

• Collaborative, mission-driven environment focused on improving member outcomes 

• Exposure to regulatory strategy, integration, and value-based care initiatives 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$105,000.00 - $231,132.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and onBenefits Moments.

We anticipate the application window for this opening will close on: 07/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.