Health Plan Advisor

HMSA; Honolulu (HI); Hybrid; USD 60,000 - 90,000; Full time

Job summary

HMSA in Hawaii seeks a dynamic benefits outreach professional to conduct open enrollment sessions for members on Oahu and the Neighbor Islands, either in person or via virtual formats. You will strategically plan seminars, staff events, and coordinate materials to highlight HMSA's value and ancillary offerings.

You will answer questions about plan benefits, resolve issues, and collaborate with cross-functional teams to support sales and membership growth while educating HR administrators and

Responsibilities

• Conduct open enrollment benefit presentations for current and prospective members.
• Handle inquiries from members and support benefit/health fairs on Oahu and Neighbor Islands (in-person and/or virtual).
• Strategically plan, staff, coordinate, and organize seminars/workshops to drive awareness of HMSA's value proposition.
• Promote HMSA ancillary products/services to groups and individuals on plan offerings, health and well-being, disease management, and preventive care programs.
• Respond to members' questions regarding plan benefits and provisions, as well as general questions relating to HMSA.
• Resolve member complaints, as necessary.
• Meet marketing plan established goals and contribute to meeting annual sales revenue and membership growth objectives.
• Work in a cross functional team with Strategic Account Manager/Account Relationship Consultant/Account Service Representative/HPA/Well-Being Consultant.
• Participate in the account planning process to help strategize and prioritize open enrollment support.
• Schedule sessions for the account ahead of time.
• Use existing or lightly customized materials/communication or agendas for seminars
• Learn and understand the content of Open Enrollment materials, including health and well-being resources, and may assist with material updates. Obtains materials from internal sources and distributes to groups in a timely manner.
• Assist in conducting training and/ or seminars for employer groups' Human Resource administrators and/or group decision makers at workshops and/or seminar sessions and conducts other presentations/trainings based on business needs.
• Educates and advises administrators regarding their group health plan benefits and provisions, HMSA programs, the enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act, COBRA, USERRA, HIPAA, QMCSO, TEFRA. Responds to group leaders' questions regarding these subjects, as well as general questions relating to HMSA.
• Assists with the development of new presentations to support business objectives, including health and well-being resources and support as needed.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.

Job description

1. Conduct open enrollment benefit presentations (second sale), handle current and prospective member inquiries, and support benefit/health fairs at employer sites on Oahu and the Neighbor Island (in-person and/or virtual).
2. Strategically plan, staff, coordinate, and organize seminars/workshops to drive awareness of HMSA's value proposition.
3. Employ exceptional selling skills to promote, educate, and implement HMSA's ancillary products/services to existing and prospective members on group specific plans offering, health and well being, disease management, preventive care programs, and other programs in accordance with the strategic marketing goals of HMSA.
4. Respond to members' questions regarding plan benefits and provisions, as well as general questions relating to HMSA. Questions are standard and of non-sensitive nature.
5. Resolve member complaints, as necessary.
6. Meet marketing plan established goals and contribute to meeting annual sales revenue and membership growth objectives.
7. Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant/Account Service Representative/HPA/Well-Being Consultant.
8. Participate in the account planning process to help strategize and prioritize open enrollment support.
9. Schedule sessions for the account ahead of time.
10. Use existing or lightly customized materials/communication or agendas for seminars
11. Learn and understand the content of Open Enrollment materials, including health and well-being resources, and may assist with material updates. Obtains materials from internal sources and distributes to groups in a timely manner.
12. Assist in conducting training and/ or seminars for employer groups' Human Resource administrators and/or group decision makers at workshops and/or seminar sessions and conducts other presentations/trainings based on business needs.
13. Educates and advises administrators regarding their group health plan benefits and provisions, HMSA programs, the enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act, COBRA, USERRA, HIPAA, QMCSO, TEFRA. Responds to group leaders' questions regarding these subjects, as well as general questions relating to HMSA.
14. Assists with the development of new presentations to support business objectives, including health and well-being resources and support as needed.
15. Performs all other miscellaneous responsibilities and duties as assigned or directed.