Health Plan Account Manager

5 days ago

Dallas, Texas, United States Curative HR LLC Full time
Job Summary

The Account Representative will be responsible for managing the day-to-day services associated with the management of employer accounts, including implementation, enrollments, ongoing services, and renewal processes. This role will serve as the main contact for employer administrators once the account has been sold.

Key Responsibilities
  • Coordinate the implementation of new employer accounts placed by the Sales Department.
  • Work with new employers to initiate the enrollment process and manage the complete implementation and process through open enrollment.
  • Meet with new client representatives to educate their administrators on the premium payment and enrollment processes.
  • Manage and coordinate with necessary resources and staff for Employer's Health Fairs.
  • Confirm with Curative Administrators and the ID Card vendor that all ID Card packages are being mailed to Participants in a timely manner.
  • Confirm with the Curative RN Staff that all initial information is received for enrollment to begin the Assessment meetings so that all new enrollees have their Assessment within 120 days of enrollment.
  • Coordinate with IT to ensure the employer and employee portal have all the correct links for the Benefit Booklet and plan specifications.
  • Manage the ongoing enrollment change process throughout the Plan Year.
  • Maintain ongoing support and meetings with employer group representatives to maintain a positive relationship with the client, verifying their needs and expectations are met at the highest level.
  • Provide periodic reports to clients on their account status.
  • Work with Health Plan Management on any ongoing needs for clients.
  • Work with Health Plan Management and the Actuarial Team to develop annual renewals. Deliver and review the renewals to the appropriate client representatives.
  • Manage the open enrollment process for renewing clients.
  • Maintain a dialogue with the client's broker to keep them aware of the account status and any issues that may arise and their resolution.
  • Develop an encyclopedic knowledge of the Curative Health Plan Benefits and Services.
Requirements
  • Bachelor's degree and 3 years' experience in a Health Plan Account Representative Department.
  • Knowledge of Texas Health Plans Benefits for both Insured and Self-Insured Plans and Regulations.
  • Exceptional customer service verbal and written communication skills.
  • Fluent in spoken and written English (Bilingual - preferred but not required).
  • Detail-oriented with solid organizational and planning skills.
  • Proficient in Microsoft Office, Google Workspace, and Adobe.

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