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Account Manager Large Group Business

Job Title
Account Manager Large Group Business
Duration
Open until filled
Work Hybrid
Yes
Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.


Position Summary
Responsible for the on-going service and retention of all medical and dental accounts assigned including negotiating with underwriting, positioning the renewal with the broker, and retaining the business.  Primary market segment is group size 51-99 medical and dental.  This includes personal service calls to agents and accounts, responding to both written and verbal inquiries from agents and/or accounts, and includes attending requested meetings by the agents or groups. Objective is to support the financial and membership growth of Moda and its affiliates. This is a hybrid position based in Portland, Oregon. 


Pay Range
$54,668.32 - $68,340.67 ​​​annually (depending on experience). This position is eligible for a quarterly incentive & annual bonus. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.


Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27772652&refresh=true


Benefits:

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays


Required Skills, Experience & Education:

  1. College degree or equivalent of 2-4 years in health insurance and employee benefits/administration field and/or sales and account management experience. 
  2. Demonstrated proficiency in desktop application software including email, word processing, ability to spreadsheet rates and options and creation of presentations, Microsoft Office Suite preferred. 
  3. Bilingual preferred. 
  4. Fully proficient verbal/written presentation skills. 
  5. Proven relationship skills. 
  6. Strong analytical and problem-solving skills. 
  7. Strong organizational skills and attention to detail. 
  8. Ability to organize and prioritize to meet established deadlines. 
  9. Ability to quickly adapt and lead through changing priorities. 
  10. Displays an enthusiastic, fully committed, and self-directed approach to work. 
  11. Strong team player. 
  12. Ability to communicate the interests and needs of customers and members to internal project teammates to improve workflow processes. 
  13. Knowledge of Medical and Dental insurance business as it relates to underwriting, processing of claims, handling of billings, customer service, and internally processes.   
  14. Consultative approach to developing a long-term relationship with brokers and group customers.  (Strategic and Conceptual Selling). 
  15. Ability to deal effectively with a variety of individuals and groups related to the provision of services designed to retain existing accounts. 
  16. Ability to engage in community/networking opportunities outside of normal business hours. 
  17. Presents a positive and professional image in the communities we serve. 
  18. Maintain a valid driver’s license, good driving record and remain auto insurable at all times on corporate policy. 
  19. Maintain a current Oregon Health Insurance license. 
  20. Ability to handle a pushcart/hand truck and ability to lift boxes up to 40 lbs in/out the trunk of a car. 

 

Primary Functions:

  1. Renews existing business and sells new lines of business to existing accounts, expanding our reach and connections with the client.  
  2. Support sales and retention initiatives targeted at potential new and renewing accounts; collaborate with Sales Executive on cross-sell opportunities.   
  3. Conducts end to end customer experience which will include an organized series of proactive touch points direct to client/group.   
  4. Develops and follows customer service plan to meet established standards. 
  5. Establish and build a knowledge base relative to trends and development in the medical and dental insurance field, new or revised benefit designs, and related service offerings.  In addition, collaborate to become familiar with the process of providing information to individuals representing groups related to the questions or issues that arise from agents or groups. 
  6. Perform field audits to assess the degree of account compliance with our established underwriting regulations to ensure that these requirements are being followed.   
  7. Manage administrative support duties related to assigned accounts, including internal communication and paperwork. 
  8. Coordinates ordering of enrollment materials for customers. 
  9. Coordinates resolution of any implementation, or escalated service, claims, membership accounting issues. 
  10. Trains and consults with agents and employers on enrollment, benefits, and electronic service processes. 
  11. Perform renewal enrollment presentations. Represents Moda Health at benefit and wellness fairs. 
  12. Become involved with professional associations such as the local Life Underwriters and/or Health Underwriters, and in other community activities. 
  13. Establish and build a knowledge base relative to trends and development in the medical and dental insurance field, new or revised benefit designs, and related service offerings.   
  14. Accountable for performing delinquent account functions and follow up. 
  15. Perform other related duties as assigned by management team. 


Working Conditions & Contact with Others

  • Works with multiple internal departments and externally with agents, group administrators, and customers. 
  • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Travel as needed. 
     

 

Together, we can be more. We can be better.
 ​​​​​​
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 

For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.

Should you need an accommodation in applying to any of our open positions, please contact Human Resources at humanresources@modahealth.com or 503-228-6554.