Senior Account Executive

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🔥 13 hours ago

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PacificSource Health Plans

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

⚕️ Healthcare Insurance

💸 Finance

🧘 Wellness

Healthcare Insurance • Finance • Wellness

PacificSource Health Plans is a healthcare provider that offers a range of health insurance solutions, including plans for individuals, families, and employers. Their offerings include Medicare and Medicaid plans, dental coverage, and administrative services for small and large groups. Committed to member care, PacificSource emphasizes customer service and provides various resources for health management, including mental health support and wellness programs.

📋 Description

• Secure, build, and sustain positive working relations with key constituents including groups, brokers, external vendors, and internal departments. • Foster a partnership and enhance dialogue with groups, while acting as a subject matter expert. • Assist large employer groups of 51 or more eligible and brokers in building strategically designed benefit programs to support cost containment, quality care, wellness programs and compliance with legal and regulatory guidelines. • Lead the renewal process for assigned groups. • Lead the evaluation of, and responses to, requests for proposals for existing groups. • Actively seek opportunities to sell other PacificSource services to current groups. • Ensure existing groups are satisfied with and recognize the value offered by PacificSource. • Fully responsible and act independently for negotiating the renewal; thoroughly understand underwriting model. • Complete any documentation necessary to implement or renew groups. • Consult with groups to ensure they are informed regarding PacificSource products, administrative procedures, population health strategies, and legislative and compliance requirements. • Follow service model guidelines for client outreach. • Serve as a resource for benefits, compliance, and plan information. • Communicate with groups, providers, PacificSource departments, and Sales to assure clear communication between all constituents. • Attend internal and external meetings as required. • Share best practices with team. • Work to identify potential issues and seek resolution(s). • Liaison to outside vendors which provide services/products to our groups, including but not limited to, Pharmacy Benefit Managers, Wellness Programs, EAP Providers, Benefit Administration Systems, 834 Vendors, and other ancillary programs or services • Work with groups and brokers to develop the strategic direction of the groups’ employee benefit plans. • Create and help execute a roadmap to accomplish groups’ goals. • Present and review client reporting package, identify trends, tools, and proposed course of action to help meet client goals. • Where applicable, offer additional PacificSource solutions that resolve a client want/need. • Lead internal and external implementation and renewal meetings with support of Sales and Service Coordinator. • Review internal documentation required to implement a new or renewing group and coordinate completion of documentation with Sales and Service Coordinator on all internal documentation. • Review plan documents before delivery to ensure accuracy. • Deliver and review the plan administrator manual, contract documents, amendments, benefit books, billing procedures, and other group information. • Negotiate with brokers and group in order to renew accounts and maintain financials. • Follow up with consultant/brokers on renewal status, renewals rates, develop alternate or optional benefit quotes, as appropriate. • Determine reasons for client terminations and record information for team/executive review. • Participate in client group enrollment/employee benefit meetings, wellness/health fairs. • Prepare materials and presentations for meetings, Conduct/participate in new group enrollment and orientation meetings. • Receive, analyze, and respond to client issues and assure timely, appropriate follow-up. • Serve as client contact and problem solver for a wide range of contract issues relating to medical, dental, pharmacy, and optional benefits; supply requests; problem resolution; and claims issues. • Identify cross selling opportunities to existing PacificSource groups. • Represent PacificSource, both internally and externally, as required at events, including but not limited to: Health Underwriters and Human Resource professional association meetings and conferences, Chamber of Commerce, and any other community activities or volunteer opportunities.

🎯 Requirements

• Minimum of 5 years of experience in sales, account management, or employee benefits experience required. • Bachelor’s degree preferred. High school diploma or equivalent required. • Current Life and Health Insurance License or to be obtained within 6 months in the role. • A thorough understanding of insurance products, contracts, administrative procedures, and the health insurance industry’s legal and mandatory guidelines preferred. • Thorough knowledge of Self-Funding and Administrative Services Offering. • Excellent communication skills, both verbal and written. • Ability to communicate effectively with all types of individuals. • Excellent public relations skills and public speaking ability. • Ability to effectively explain plans and administration to groups of varying educational backgrounds and familiarity with benefits. • Ability to effectively communicate with various internal departments. • Ability to provide prompt, professional, and courteous service to customers, brokers, and PacificSource employees. • Ability to work in a fast-paced environment, managing shifting priorities and multiple tasks simultaneously. • Superior work leadership skills, including taking action without specific direction. • Requires a high level of integrity and trust, given frequent exposure to confidential material. • Demonstrated ability to remain resilient, flexible, and focused in a changing environment. • Work autonomously and independently. • Desire to learn new things, anticipate problems, and develop contingency plans to manage them. • Travel, with some overnight visits required. • Proficient in Microsoft Word, Excel, PowerPoint, and Outlook.

🏖️ Benefits

• Flexible telecommute policy • medical, vision, and dental insurance • incentive program • paid time off and holidays • 401(k) plan • volunteer opportunities • tuition reimbursement and training • life insurance • options such as a flexible spending account