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Humana

Sells Medicare health plans and runs senior clinics

Group Medicare Senior Account Executive

Account ManagementPosted on Nov 10
Full-time

About the Job

Requirements

  • Medicare and/or managed healthcare background, with Group experience preferred.
  • Maintain a valid life and health license in all applicable states.
  • Have 2–5 years of account or client management experience.
  • Demonstrate strong financial, analytical, and technical skills.
  • Think strategically and build meaningful relationships.
  • Have strong presentation and meeting facilitation skills.
  • Apply conflict resolution skills.
  • Use project management and multitasking skills.
  • Conduct root cause analysis and problem solving to identify client solutions.
  • Communicate and collaborate effectively while serving and interacting with numerous internal Humana client areas.
  • Be able to travel 35%–50%.
  • Meet the work-at-home internet requirements: at least 25 Mbps download and 10 Mbps upload, using a wireless, wired cable, or DSL connection; work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Responsibilities

  • Grow membership within existing accounts and directly manage business relationships with client accounts.
  • Serve as the primary contact for an assigned book of business, adapting account management to each customer's culture, expectations, requirements, complexity, and size.
  • Meet with each customer at least annually to present reporting, discuss renewals, and determine consultative strategy and expectations.
  • Develop and maintain relationships with customers at all levels of their organizations.
  • Establish and develop relationships with brokers, unions, and associations.
  • Act as a liaison between Humana, customers, and internal partners.
  • Coordinate partnership meetings with clients and determine customer strategy and expectations.
  • Provide customers with regular updates on Humana initiatives, CMS updates, news releases, and industry matters.
  • Deliver utilization reports to clients and brokers.
  • Collaborate with internal partners and stakeholders on group renewal strategy.
  • Deliver renewal information to customers, consultants, and brokers; lead negotiations; and confirm final renewal actions through sold-case paperwork to initiate renewal implementation.
  • Collaborate with Consumer Engagement Professionals to determine open enrollment meeting schedules, seminar and retiree engagement staffing, and needed giveaways and supplies.
  • Conduct seminars for the Humana open enrollment team as necessary and conduct or participate in seminars.
  • Escalate service issues to internal partners and ensure they are resolved.
  • Identify ways to improve customer experience and current processes, and identify growth opportunities within the book of business.
  • Oversee and complete requests for proposals and requests for information for renewal and expansion opportunities.
  • Ensure appropriate and complete agent training, licensing, and commission payment.
  • Manage client data in G-force and customer termination processes.
  • Collaborate with Consumer Engagement Professionals to determine BH2U meeting content and staffing.
  • Collaborate with the New Sales team on new opportunities, including preparing request-for-proposal responses and presenting Humana account management capabilities at customer finalist meetings as needed.
  • Review sold documents, including rates, benefits, and contracts, and confirm their accuracy with new customers.
  • Deliver Plan Compass reporting to all 100+ clients annually, or more frequently when client expectations require.
  • Participate in account implementation kickoff meetings.
  • Review disruption analysis and determine provider outreach strategy when needed.
  • Review prescription drug disruption and work with the Pharmacy team to manage customer expectations.
  • Manage data file transfers and determine group or regional marketing strategy when needed.
  • Manage the annual renewal process, including rate delivery, rate negotiation, sale confirmation, and renewal implementation activities.
  • Participate in regional calls with markets as needed and in quarterly or as-needed market review meetings to discuss clients' financial outcomes.
  • Monitor client performance guarantee results as needed.
  • Collaborate with Pharmacy, Account Implementation, Communication Consultants, Consumer Engagement Professionals, ACS, Network, Clinical, Underwriting, Market leadership, and Group Medicare leadership.
  • Represent the account executive team on internal projects and committees.
  • Identify training needs and complete required training.
  • Manage travel and expense reporting.

Desired Qualifications

  • A college degree.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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