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GuideWell Mutual

Nonprofit mutual health insurance group in Florida

Healthcare Account Executive 2

Account ManagementConfirmed live in the last 24 hours
Full-timeNo salary listed

About the Job

Requirements

  • At least 7 years of related work experience.
  • Experience in the health insurance or benefits administration industry, working directly with clients and distribution networks in a healthcare benefits environment.
  • At least 2 years of direct supervisory or management experience.
  • A related Bachelor's degree in Business, Communications, Healthcare, or a related field; additional experience may be considered in lieu.
  • Detailed knowledge of Healthcare Reform.
  • Extensive experience and demonstrated proficiency with Microsoft Office applications, including Word, Excel, Access, and PowerPoint.
  • Strong verbal and written communication skills; writing samples may be requested.
  • Ability to work and communicate across operational areas within the organization.
  • Ability to handle confidential and sensitive information appropriately.
  • Ability to present confidently to clients and executives.
  • Ability to tailor messaging to the intended audience consistently with business objectives.
  • Negotiation skills.
  • Ability to self-manage and work independently, proactively, and collaboratively as a team member.
  • Strong attention to detail, particularly details that drive benefit plan performance.
  • Ability to identify problems and issues and propose effective solutions.
  • Ability to segment and prioritize workload based on time sensitivities and critical success factors.
  • Well-developed project management skills.

Responsibilities

  • Manage a small block of clients, including at least one jumbo or key client assignment with 5,000 or more employees, and retain the block's revenue and profitability.
  • Build and maintain an understanding of product and service delivery systems and infrastructure sufficient to identify and address problems and information requests promptly.
  • Respond to client inquiries within 24 hours, acknowledge them, and set expectations for resolution.
  • Deliver on commitments and maintain proactive communications with clients, distributors, business partners, and consultants to identify and address issues promptly.
  • Use WebTPA reporting and analysis tools to report plan performance metrics to brokers, consultants, and clients; deliver complex utilization and plan operating metrics and make recommendations to plan leadership.
  • Assist leadership in guiding, developing, and mentoring Account Managers and Account Management Associates, and directly manage or supervise Associates supporting the client portfolio.
  • Support projects involving problem resolution, research, implementations, enrollments, and renewals.
  • Ensure delivery of fully executed client contracts, including Administrative Services Agreements, plan documents, compliance documents, network documents, pharmacy benefit manager documents, and business associate agreements.
  • Maintain feedback channels to gather client-satisfaction intelligence from brokers, consultants, vendors, partners, stop-loss carriers, and other sources across the client’s product and service delivery system.
  • Analyze client plan performance and identify opportunities to upsell or cross-sell WebTPA products and services or revenue-producing partner products and services while improving service for clients and members.
  • Understand client plan objectives, discuss key performance indicators, analyze issues, and recommend or model changes to achieve those objectives.
  • Evaluate client needs and lead cross-functional teams to design, plan, configure, and implement products and services for renewals and new-client implementations.
  • Oversee team members servicing clients, set team priorities and deliverables aligned with client-specific objectives, mentor team members, support their industry knowledge development, and outline career-development opportunities.
  • Schedule and lead client and delivery-team meetings; communicate progress against client plan-management strategy and prepare data, research, analysis, handouts, and documents to guide discussions.
  • Review and assess client benefit plans, considering industry, locations, required product and service mix, and compliance factors.
  • Communicate and ensure client compliance with federally and state-mandated requirements.
  • Travel occasionally to multiple locations for work, including meetings, events, and conferences.

About the Company

GuideWell Mutual

Nonprofit mutual health insurance group in Florida

GuideWell Mutual Holding Corporation is the not-for-profit, policyholder-owned parent of Florida Blue, the Blue Cross and Blue Shield health insurer for Florida. Its family of companies also includes Triple-S, which runs the Blue plans in Puerto Rico, and GuideWell Source, which processes Medicare claims for the federal government through Novitas Solutions and First Coast Service Options. Most income comes from health plan premiums paid by employers, individuals and Medicare members, plus fees for running claims for others. As a mutual, it has no shareholders, and Florida Blue policyholders control it. GuideWell was formed in 2013 and is based in Jacksonville, Florida.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Jacksonville, FL
Founded
2011

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