Job Description:
Health Insurance Account Manager
Homestead Smart Health Plans, with its headquarters in
Philadelphia, PA, has an immediate opening for an experienced and
dedicated Account Manager to join our Sales team in a rapidly
growing company and market segment. In this role, you will be
responsible for servicing clients in self-funded, third-party
administrator (TPA) plans that specialize in reference-based
pricing.
The Account Manager will develop employer, broker and consultant
relationships to service Homestead’s clients and manage the open
enrollment process and communication of health benefit designs to
employees. You’ll provide a consultative process to help employers
identify and implement high quality, cost saving programs, services
and strategies.
The Account Manager position will be based out of Homestead’s
Philadelphia office. This position will be expected to be in the
office two-three days/week. Regular ongoing visits to broker and
client offices for meetings will be necessary.
Specific Job Responsibilities:
* Provide ongoing service to self-funded health benefit clients
* Assist with billing, claim and customer service resolutions
* Assist with customer implementation
* Manage open enrollment process
* Provide formal presentations to employees on health benefit plans
* Visit clients and potential clients to evaluate needs and promote
products and services
* Develop and communicate utilization reports and trends to clients
identifying opportunities for benefit enhancement and increased
member engagement
* Responsible for understanding and communicating compliance
standards with laws and regulations as they pertain to our clients
* Develop and manage relationships with brokers and consultants
* Assist in providing formal presentations to C-suite executives,
including human resources leaders
* Solve complex benefit challenges using customized self-funded
solutions
* Plan, organize and prioritize actions on a day-to-day basis to
accomplish goals and objectives
* Collaborate with the sales team to ensure high quality of service
* Perform additional duties as assigned.
Knowledge, Skills, and Abilities:
* Able to work comfortably in a fast-paced environment
* Excellent interpersonal, written and oral communication skills to
build rapport with customers and business partners
* Solid organizational skills and effective time management;
ability to manage and prioritize multiple assignments from multiple
staff members
* Strong analytical skills to understand complex coverage details
and underwriting guidelines
* Enthusiastic, highly motivated, self-starter with a positive
attitude and sense of urgency
* Commitment to customer service excellence
* Understanding of stop loss insurance and self-funded medical
plans
* Knowledge of claims processing systems and utilization reporting
* Knowledge of reference-based pricing preferred
* Competency in Microsoft applications including Word, PowerPoint,
Excel, and Outlook
* Ability to travel to meet with clients and brokers (estimated
time 30% to 50%)
* Ability to work independently, take initiative, identify and
address tasks without prompting, meet deadlines, and follow through
on assignments
* Ability to work effectively independently and as part of a team
* Strong work ethic required
Homestead Smart Health Plans is an Affirmative Action - Equal
Opportunity Employer (Minorities / Females / Vets / Disabled).
Homestead Smart Health Plans provides equal opportunities to all
employees and applicants for employment without regard to sex, race,
color, religion, marital status, national origin, age, genetic
information, sexual orientation, gender (including gender
identity/expression), disability, veteran status and military
status, pregnancy or pregnancy-related medical conditions, or any
other factor that may be protected by law.
