Client Management Lead

Company: Sentara
Location: Miami
Posted on: April 16, 2024

Job Description:

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Client Management Lead in Miami, Florida. This is an onsite position at the City of Sunrise.SCOPE OF POSITION: The Client Management Lead achieves personal client management production requirements while providing guidance to team. Develops and maintains strong external relationships with clients, brokers, and benefit administrators to achieve these objectives. Conducts group educational meetings with current and prospective members. Supports the Client Manager in retaining profitable business in the large group segments. Informs and shares needs, realities and experiences related to the Commercial Group market while bringing a sense of urgency to identifying roadblocks and developing solutions in order to meet growth and profit targets within the Commercial Group market. Acts as "Subject Matter Expert" on all issues related to the needs/expectations of the employer group.ESSENTIAL JOB FUNCTIONS:

• Develops and maintains relationships with customer groups, brokers, and consultants. Develop and maintain relationships with client administrators, staff members and employees. Deliver an exceptional client/member experience demonstrating AvMed's service standards and values. Interact with consultants and health care coalitions, as required. Responsible for providing personal on-site assistance to employees and administrators with any inquiries about the client's Health Plans.
  • Resolves day to day client issues by evaluating situation, determining when to escalate and recommending solutions. Serves as liaison between the client and AvMed departments to ensure timely and accurate resolution of client and member issues. Provides clarification and education to the client on AvMed products, policies, and procedures. Monitor membership eligibility, reconcile discrepancies, provide COBRA administration, & perform audits as needed. Handles more complex and critical client issues.
    • Supports the Client Management in planning and coordinating annual renewal process and accomplishing or exceeding retention and growth goals related to assigned commercial accounts.
      • Assists in open enrollment meetings to familiarize existing/potential members with the benefits offered and procedures required. Facilitate enrollment and coordinates documentation. Facilitates wellness initiatives such as fairs, meetings, etc. Visit assigned clients on a scheduled basis.
        • Accomplishes or exceeds retention, profitability and growth goals related to assigned commercial accounts. Contribute to the development of innovative Client Management initiatives which add value and provide a differentiated service advantage. Contribute operational input to product development processes and advertising plans. Provide product enhancement and development recommendations.
          • Submits weekly, monthly, periodic, and special reports.
            • Performs additional duties and responsibilities as assigned by management.Minimum requirements:
              • Bachelor's degree and 1 years related experience required or HS grad and 5 years related experience. Related years of experience includes Business Acumen, Customer Relation, Employee Benefits, Health Insurance Industry, or related field.
              • Must have Florida Health and Life license(s), (215, 218, or 240) within 90 days of hire.Preferred requirements:
                • Solid understanding and application of strategic account management skills.
                • Knowledge of HMO/group health insurance.
                • Strong verbal and written communication skills.
                • Ability to operate independently, with minimal supervision.
                • Ability to handle multiple functions and prioritize appropriately.
                • Ability to work with the public, both face-to-face, and over the phone.
                • Ability to work effectively and efficiently with other departments.
                • Ability to effectively manage and resolve problems in a timely manner.
                • Ability to think creatively.
                • Ability to work in a fast-paced environment.
                • Basic knowledge of personal computers and fundamental software.
                • Proficient in Pivotal, Amisys, and other software used by Client Management RepsOur Benefits:As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
                  • Medical, Dental, and Vision Insurance
                  • Paid Annual Leave, Sick Leave
                  • Flexible Spending Accounts
                  • Retirement funds with matching contribution
                  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
                  • Work Perks program including discounted movie and theme park tickets among other great deals
                  • Opportunities for further advancement within our organizationSentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits - Sentara ()Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.Keywords: Talroo-health Plan, #Indeed, Health Plan, Customer ServiceJob SummarySupport (Sr.) sales executive and/or (Sr.) (Regional) client executive in producing and retaining profitable business in the large group segment. Interact with consultants, brokers, benefit administrators and Optima Health business units to achieve these objectives. Conduct group educational meetings with members and prospective members as requested. Demonstrate knowledge about health insurance products, basic underwriting principles, self-funded arrangements and PPACA provisions impacting the Large Employer segment.
                    
                    Bachelor's degree and 1 years related experience required or HS grad and 5 years related experience. Related years of experience includes Business Acumen, Customer Relation, Employee Benefits, Health Insurance Industry or related field. Must obtain a L-HIL or L-LIFEHI within 90 days of hire.Qualifications:BLD - Bachelor's Level Degree (Required)215 Florida Insurance License - Certification - Florida Board of Insurance, Driver's License - Certification - Other/NationalBusiness Acumen, Customer Relations, Employee Benefits, Health Insurance Industry, RelatedSkillsCommunication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Monitoring, Persuasion, Service Orientation, Social Perceptiveness, Speaking, Technology/Computer, Time Management, WritingSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara, Coconut Grove , Client Management Lead, Executive , Miami, Florida