Account Manager Small Group Business

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Job Summary:
Responsible for the on-going service and retention of medical and dental accounts assigned.  Primary focus is 1-50 group market.  This includes personal service calls to agents and accounts, responding to both written and verbal inquiries from agents and/or accounts, and includes attending requested meetings by the agents or groups. Objective is to support the financial and membership growth of Moda and its affiliates.

This is a full-time hybrid position based in Portland, Oregon.

Pay Range
$48,900.76 - $61,125.95 (annually) depending on experience. This position is eligible for incentive. 

Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

Benefits :

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Primary Functions:

1. Provide existing accounts with frequent service to assure their retention and to protect them from competition.
2. Accountable as the principle contact for dealing with escalated questions or problems related to membership accounting, underwriting, and/or claims in cases where the account is not satisfied with the resolution of a problem within Moda Health and its affiliates.
3. Develop and maintain strong relationships with internal partners to manager customer service experience.
4. Establish and maintain strong and appropriate relationships with group administrators and brokers to maintain persistency.
5. Perform field audits to assess the degree of account compliance with our established underwriting regulations to ensure that these requirements are being followed.
6. Manage assigned medical and dental accounts, responsible for ensuring administrative staff executes tasks as requested, within timeframes, including internal communication and paperwork.
7. Represent Moda Health at benefit and wellness fairs and conduct open enrollment presentations of the employee benefit package upon request.
8. Trains and consults with brokers and employers on enrollment, benefits, and electronic service processes.
9. Influences, demonstrates, and trains employer groups about Moda Health’s online electronic services, tools and technologies.
10. Establish and build a knowledge base relative to trends and development in the medical and dental insurance field, new or revised benefit designs, and related service offerings.
11. Accountable for performing delinquent account functions and follow up.
12. Perform other related duties as assigned by management team.

 

Required Skills & Experience:

1. 2-4 years in health insurance and employee benefits/administration field and/or sales and account management experience.
2. Demonstrated proficiency in desktop application software including email, word processing, ability to spreadsheet rates and options and creation of presentations, Salesforce and Microsoft Office Suite preferred.
3. Bilingual preferred.
4. Ability to communicate effectively both verbally and in writing.
5. Highly organized, ability to prioritize and manage a large work volume to meet established deadlines.
6. Ability to navigate a complex organization to accomplish customer satisfaction.
7. Displays an enthusiastic, fully committed, and self-directed approach to work.
8. Strong team player.
9. Ability to engage in community/networking opportunities outside of normal business hours.
10. Knowledge of medical and dental insurance business as it relates to the processing of claims, handling of premium bills, customer service, and related information.
11. Presents a positive and professional image in the communities we serve.
12. Maintain a valid driver’s license and a good driving record. Must be able to provide own reliable transportation.
13. Maintain a current Oregon Health Insurance license.
14. Ability to handle a pushcart/hand truck and ability to lift boxes up to 40 lbs in and out of a car trunk.

 

Contact with Others & Working Conditions: 

• Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Travel as needed.
• Works with multiple internal departments and externally with agents, group administrators, and customers.

Together, we can be more. We can be better.
 
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our View email address on j.brt.mv email.