Account Manager

Avera-Healt; Sioux Falls (SD); Hybrid; USD 64,000 - 96,000; Full time

Benefits offered by this job

PTO from day 1

Retirement matching up to 5%

Career development & mentorship

Equal Opportunity Employer

Job summary

Avera Health Plans in Sioux Falls is seeking an experienced Account Manager to develop and manage relationships with groups and their agents. You will drive member growth and retention, oversee onboarding and renewal processes, and coordinate with internal teams to resolve eligibility, claims, and billing issues.

The role emphasizes strategic account planning, strong communication, and a focus on customer satisfaction within a hybrid work arrangement after on-site integration.

Qualifications

• Strong account management and relationship-building skills.
• Ability to develop and execute business plans for key accounts.
• Experience supporting large employer groups and renewals.

Responsibilities

• Meet or exceed production towards membership goals.
• Develop and manage business plans for key accounts.
• Build strong relationships with groups and their agents.
• Oversee onboarding and renewal processes for large employer groups.
• Negotiate with Risk Management/Underwriters during renewals.
• Coordinate with internal departments to resolve eligibility, claims and billing issues.

Skills

Account management

Relationship building

Renewals

Education

Bachelor's

Job description

Location:Avera Health PlansWorker Type:RegularWork Shift:Day Shift (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$63,960.00 - $96,200.00Position HighlightsThis position will potentially be a Hybrid position after one year on site.You Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.A Brief OverviewDevelops group and agent relationships leading to retention, creates and executes strategic account plans. They serve as the group and agent's trusted, health insurance resource assisting them and ensuring their experience is the best service possible. This includes the responsibility for service, performance, business enhancement for each assigned account.What you will doResponsible for meeting or exceeding production towards achievement of membership goal.Develop and execute plans required for outstanding performance as measured by client retention and survey response including: Develop and manage business plan for key accounts. Build strong, productive and influential relationships with groups and their agents. Oversee execute the on-boarding and renewal process of large employer groups. Encourage networking with community leaders to promote Avera's visibility in the community and attendance at important industry functions and other events. Knowledge required in offering thoughtful solutions and recommendations to enhance the sales, growth, health and retention of accounts.Develop book-of-business plan to ensure customer satisfaction and retention. Provide clients the service required to reach company performance objectives. Owns the service experience of clients and agents in the field. Works with internal service and operational departments to insure complex situations regarding eligibility, claims, and billing are resolved timely and according to Avera Health Plans policies, Participation Agreement and the Certificate of Coverage. Interface with assigned brokers and consultants. Responsible for group renewals for which he/she is assigned, including negotiating with Risk Management/Underwriters and positioning the renewal with the agent and closing the renewal.Receive, renew, and document all steps of the renewal process for group renewal including alternate quotes as requested.Other duties as requested.Essential QualificationsThe individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.Required Education, License/Certification, or Work Experience:South Dakota Resident Producers License - South Dakota Division of Insurance active in state of practice within 60 DaysPreferred Education, License/Certification, or Work Experience:Bachelor'sThree to five years of related experience and/or trainingExpectations and StandardsCommitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.Promote Avera’s values of compassion, hospitality, and stewardship.Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.Maintain confidentiality.Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.Benefits You Need & Then SomeAvera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.PTO available day 1 for eligible hires.Up to 5% employer matching contribution for retirementCareer development guided by hands-on training and mentorshipAvera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].