Health Insurance Self Funded Account Manager

Job Description:

Renews commercial business for SelectHealth, manages account activities, and coordinates the re-enrollment of existing groups in addition to the enrollment of new groups, with minimal support. Works closely with the managers and technical support personnel of other departments to facilitate quick and efficient problem resolution.

Scope

The Account Manager is generally responsible for:- $5,000,000 - $10,000,000 of Select Health revenue - 25 - 35 client groups to service and renew 10,000 - 20,000 plan members - Broker/consultant relations with assigned client groups.

Posting Specifics

• Benefits Eligible: Yes

• Shift Details: Monday - Friday 8am to 5pm

• Unit/Location: Remote or Hybrid

• Additional Details: Some travel required

Benefits

Intermountain Healthcare offers a generous benefits package that contributes to the overall health and compensation of each caregiver.

• Various insurance options through Select Health, Intermountain's insurance company

• Onsite fitness centers and discounts to local gyms

• LiVe Well caregiver incentive program - up to $300 per year

• Employee Assistance Program (EAP) - including free counseling for caregivers and their immediate family

• Over 302,000 discount offers across 10,000 cities on everything from movie tickets, pizza and the zoo to car rentals and hotels

• Paid Time Off including but not limited to Parental Leave, Long and Short-Term Disability

• 401(k) with up to 6% employer contribution

• Up to $1,500 referral bonus

• Tuition Reimbursement

• Tuition Assistance through Peak - up to $5,200 per year paid to your school as you go To learn about additional Intermountain benefits Click here (~~~/)

Job Essentials

• Manages the renewal process for assigned products (health, dental, etc) throughout the year for assigned employer groups. This includes responsibility for the timely issue and return of signed contracts or letters of understanding for all clients.

• Researches employer underwriting information and submits group data summary so the Underwriting Department can prepare accurate rate proposals based on employer risk. Reviews the information, risks, plan design, competition, and rates with Underwriting department to accurately convey information to the decision-makers within the client organization.

• Responds to requests for proposals (RFP's) for all clients and brokers. Maintains an excellent understanding of all dimensions of Select Health in order to submit accurate and appealing information.

• Presents proposals and negotiates agreements with existing and prospective clients. Exercises exceptional sales and negotiating skills, both with brokers and clients.

• Works with brokers to meet customer needs for information and resolution. Serves as a sales and technical information resource to brokers. Understands all funding arrangements, including fully insured, contingently funded, and self-funded, and effectively communicates information to clients and brokers.

• Organizes and coordinates the enrollment of client groups including effectively and knowledgeably presenting plan benefits to employer groups, and being well versed in benefit designs and claims adjudication to respond to group and individual questions and concerns.

• Reviews and collects completed enrollment applications for new and renewing business. Coordinates the delivery of ID cards, Membership Guides, first month billings, and contracts.

• Directs the internal enrollment process to ensure the accurate and timely enrollment and administration of groups by coordinating the underwriting, enrollment, finance, and marketing functions. Maintains a working knowledge of the group information system in order to conduct final quality and accuracy review of information that has been entered.

• Instructs and assists client administrators in enrollment (including SHOBE, EDI, or other electronic enrollment systems), billing reconciliation, underwriting risk, contract compliance, and other identified areas.

• Identifies problems and solutions to management related to benefit designs, provider relations, financial / billing, enrollment, compliance, and other employer concerns.

• Participates in the promotion and execution of events at employer sites, such as Health and Wellness fairs.

• In conjunction with Marketing, drafts and reviews procedural and marketing materials for distribution to current and potential members. Provides high quality writing and editing of communications to Select Health clients. Assists in the design of marketing literature for unique medical and dental plans.

• Prepares and conducts formal presentations to explain comprehensive medical and dental benefits to employer groups.

• Meets with clients to address their specific educational needs. Leads the development of education materials, coordinates and/or delivers training to benefit managers and others in administration and use of medical and dental plans.

• Travels extensively and spends significant time at employer and broker locations to educate and provide superior service to client groups, strengthen relationships, and heighten the visibility of Select Health.

• Creates customer satisfaction and loyalty through the judicious and skilled application of Sales Competencies in all interactions with external and internal customers and collaborators.

• Builds credibility through knowledge of business and financial concepts

• Focuses on the customer and takes action to exceed their expectations

• Cultivates business relationships internally, externally, and virtually

• Negotiates to create mutually acceptable outcomes

• Listens actively

• Orally conveys information clearly and competently

• Demonstrates composure under stress

• Clearly defines problems and effectively resolves them

• Takes accountability for decisions and results of work, and contributes beyond one's role

• Demonstrates initiative by identifying what needs to be done and taking appropriate action

#SelectHealth

Minimum Qualifications

• Bachelor's Degree or four years of equivalent experience in customer service, sales, marketing, or communications. Degree must be obtained through an accredited institution. Education is verified.

• Three years of sales or health care industry experience.

• Two years of Administrative Services Only (ASO)/insurance self funding experience.

Preferred Qualifications

• Either have appropriate State Health Insurance license or must obtain license within the first six months of employment. Individuals without the license will be paid below the entry rate of the position until the license is obtained.

• Effective communication skills (both verbal and written).

• Strong working knowledge of health insurance.

• Ability to sell and manage the sales process.

• Ability to handle duties and responsibilities with minimal supervision; display professionalism in judgment and decision-making.

Note: Most work is done independently and may be done at the employer's place of business.

Physical Requirements:

SH only

Manual dexterity, hearing, seeing, speaking.

Anticipated job posting close date:

04/26/2024

Location:

Benefits Administrators

Work City:

Lone Tree

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$29.22 - $46.03

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (~~~/) , and for our Colorado, Montana, and Kansas based caregivers (~~~) ; and our commitment to diversity, equity, and inclusion (~~~/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.