Now Hiring - Moda Health - Insurance Government Programs - Account Manager Large Group Business (Hybrid) In Portland office twice a week in Portland, OR

Let’s do great things, together

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.

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 PST position, 8 am - 5 pm, in the office twice a week. We are only offering this position to candidates living in or willing to relocate to OR or WA.

Please follow the link below to apply to this position:

• [please apply online] Benefits:
  • Medical, Dental, Vision & Pharmacy
  • PTO and Company paid holidays
  • 401K and FSA
  Primary Functions:
  • Renews existing business and sells new lines of business to existing accounts, expanding our reach and connections with the client.
  • Support sales and retention initiatives targeted at potential new and renewing accounts; collaborate with Sales Executive on cross-sell opportunities.
  • Conducts end to end customer experience which will include an organized series of proactive touch points direct to client/group.
  • Develops and follows customer service plan to meet established standards.
  • 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.
  • Perform field audits to assess the degree of account compliance with our established underwriting regulations to ensure that these requirements are being followed.
  • Manage administrative support duties related to assigned accounts, including internal communication and paperwork.
  • Coordinates ordering of enrollment materials for customers.
  • Coordinates resolution of any implementation, or escalated service, claims, membership accounting issues.
  • Trains and consults with agents and employers on enrollment, benefits, and electronic service processes.
  • Perform renewal enrollment presentations. Represents Moda Health at benefit and wellness fairs.
  • Become involved with professional associations such as the local Life Underwriters and/or Health Underwriters, and in other community activities.
  • 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.
  • Accountable for performing delinquent account functions and follow up.
  • Perform other related duties as assigned by management team.
  Required Skills:
  • College degree or equivalent of 2-4 years in health insurance and employee benefits/administration field and/or sales and account management experience.
  • Demonstrated proficiency in desktop application software including email, word processing, ability to spreadsheet rates and options and creation of presentations, Microsoft Office Suite preferred.
  • Fully proficient verbal/written presentation skills.
  • Proven relationship skills.
  • Strong analytical and problem-solving skills.
  • Strong organizational skills and attention to detail.
  • Ability to organize and prioritize to meet established deadlines.
  • Ability to quickly adapt and lead through changing priorities.
  • Displays an enthusiastic, fully committed, and self-directed approach to work.
  • Strong team player.
  • Ability to communicate the interests and needs of customers and members to internal project teammates to improve workflow processes.
  • Knowledge of Medical and Dental insurance business as it relates to underwriting, processing of claims, handling of billings, customer service, and internally processes.
  • Consultative approach to developing a long-term relationship with brokers and group customers. (Strategic and Conceptual Selling).
  • Ability to deal effectively with a variety of individuals and groups related to the provision of services designed to retain existing accounts.
  • Ability to engage in community/networking opportunities outside of normal business hours.
  • Presents a positive and professional image in the communities we serve.
  • Maintain a valid driver’s license, good driving record and remain auto insurable at all times on corporate policy.
  • Maintain a current Oregon Health Insurance license.
  • Ability to handle a pushcart/hand truck and ability to lift boxes up to 40 lbs in/out the trunk of a car.
  Preffered:
  • Bilingual
  
  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.
  
  For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our [please apply online] email.