Senior Benefits Specialist - 3rd Party - Group Health Benefits Administration

Job Description

Job Description

Senior Benefits Specialist-3rd Party - Group Health Benefits Administration

(Large Group Medical Plans - Fully Insured and Self-Funded)

Phila., PA

(Hybrid role, in office 3 days a week)

 

At Homestead Smart Health Plans , we believe health benefits should be simple and sustainable.

Everyone should have affordable, high value healthcare coverage.

We believe there is a better way and we built one.

Visit our website homesteadplans.com for more details on how we are revolutionizing healthcare.

We are pioneers on a mission to provide employers the best healthcare options.

We seek change-makers who will help us transform US healthcare!

 

 

 

Job Summary:

We are seeking a highly skilled Strategic Client Partner to manage our largest and most complex specialty accounts.

This role blends strategic consulting, operational oversight, and data-driven client guidance to ensure exceptional service delivery and long-term client success.

This role is central to strengthening client partnerships, optimizing program performance, and driving strategic value across key accounts.

 

The ideal candidate brings deep experience in large-group health benefits, excels at navigating complex operational environments, and can translate data into actionable insights

We ask that you have at least 10+ years of experience with leading highly complex self-funded employer relationships.

Must have a proven track record of driving multimillion-dollar revenue portfolios, top-tier retention, and long-term client strategy through data-driven plan design.

Additionally, you'll need Concierge Customer Service skills, plan optimization knowledge, and the ability to form and maintain consultative partnerships.

All-in-all, you'll manage large employer groups with a focus on long-term retention, cost containment, and plan sustainability. This includes having oversight with any changes in laws, open enrollments, helping with complex claims, etc.

 

Duties/Responsibilities:

 

Client Partnership & Strategy

* Serve as the primary strategic advisor for large specialty accounts, building trusted, long-term relationships with senior client stakeholders.

* Lead strategic planning discussions to understand client objectives and design tailored health benefits strategies aligned with organizational goals.

* Develop multiyear account roadmaps focused on cost containment, member experience, and program optimization.

 

Operational Leadership

* Oversee end-to-end operational performance for assigned key accounts, ensuring seamless implementation, issue resolution, and service delivery.

* Partner with internal operations, clinical, and product teams to ensure client needs are met with precision and efficiency.

* Identify operational risks and proactively implement mitigation strategies.

 

Data Analytics & Insights

* Analyze claims, utilization, and performance data to identify trends, opportunities, and areas for improvement.

* Deliver data-driven insights that demonstrate program value and support strategic recommendations.

* Collaborate with analytics teams to refine reporting and develop custom insights for large-group clients.

 

Issue Resolution & Advocacy

* Act as the client's internal advocate, ensuring timely resolution of escalated issues and alignment across internal teams.

* Maintain a deep understanding of client priorities and ensure they are reflected in operational and strategic decisions.

 

Contract & Renewal Management

* Lead contract renewals, amendments, and pricing discussions for large specialty accounts.

* Ensure compliance with contractual obligations and maintain accurate documentation.

 

 

Qualifications and skills:

 

Education & Experience

* Bachelor's degree in business, healthcare administration, or related field; equivalent experience considered.

* 7-10+ years of experience managing large, complex client accounts (1,000+ members) in the health benefits or insurance industry.

* Proven experience in operations, strategic consulting, and data?driven account management.

 

Technical & Professional Skills

* Deep understanding of health benefits programs, insurance products, and regulatory requirements.

* Strong analytical skills with the ability to interpret complex data and deliver actionable insights.

* Exceptional communication and presentation skills, including experience with executive?level stakeholders.

* Demonstrated ability to lead cross?functional initiatives and manage multiple priorities in a fast?paced environment.

* Proficiency in Microsoft Office Suite and CRM platforms.

 

Other Requirements

* Valid Health Insurance license or ability to obtain within 90 days of hire.

* Valid driver's license and reliable, insured vehicle (mileage reimbursement provided).

 

Physical Requirements

* Prolonged periods of sitting and computer work.

* Ability to lift up to 15 pounds occasionally.