Account Manager

Avera Health Plans Inc; United States; Hybrid; USD 64,000 - 96,000; Full time

Benefits offered by this job

PTO available day 1

Up to 5% employer matching retirement

Career development via training and/m:

Job summary

Avera Health Plans is hiring for a position that focuses on developing group and agent relationships to improve retention and service for employer clients. The role emphasizes strategic account planning, client onboarding, and renewal management within a health insurance context.

The candidate will work with brokers and consultants, manage renewals, and coordinate with internal teams to resolve complex eligibility, claims, and billing matters.

Qualifications

• South Dakota Resident Producers License active in state of practice within 60 days.
• Bachelor's degree preferred; three to five years of related experience and/or training.

Responsibilities

• Meet or exceed production toward membership goals.
• Develop and execute plans for client retention and performance.
• Build strong relationships with groups and their agents.
• Oversee onboarding and renewal for large employer groups.
• Network with community leaders to promote visibility and events.
• Collaborate with internal teams to resolve eligibility, claims, and billing issues.
• Document renewal steps and negotiate with underwriters.

Skills

Communication skills

Education

South Dakota Resident Producers License

Bachelor's degree

Job description

Job Details

Location: Avera Health Plans

Worker Type: Regular

Work 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 - $96,200.00

Position Highlights

This position will potentially be a Hybrid position after one year on site.

You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients.

Work where you matter.

Brief Overview

Develops 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 do

Responsible 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 Qualifications

The 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 Days

Preferred Education, License/Certification, or Work Experience

Bachelor's Three to five years of related experience and/or training

Expectations and Standards

Commitment 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

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera 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].

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.