Account Manager

Avera•Sioux Falls, SD

6d•Onsite

About The Position

The Account Manager develops group and agent relationships to support retention and creates and executes strategic account plans. As a trusted health insurance resource, the Account Manager assists groups and agents and works to provide the best possible service experience. The position is responsible for service, performance, and business enhancement for each assigned account. The role is responsible for meeting or exceeding production toward membership goals and for developing and executing plans that support strong performance, client retention, and survey results. This includes managing key-account business plans, supporting large employer group onboarding and renewals, and addressing complex eligibility, claims, and billing situations with internal teams. The Account Manager also manages assigned group renewals, including renewal documentation, alternate quotes when requested, negotiations with Risk Management or Underwriters, and renewal placement and closure with agents.

Requirements

Active South Dakota Resident Producer’s License from the South Dakota Division of Insurance in the state of practice within 60 days.
Ability to work the specified hours.
Ability to perform the essential job functions satisfactorily, including adequate visual acuity and the ability to communicate effectively, hear, understand, and distinguish speech and other sounds.
Ability to maintain confidentiality and work effectively in a team environment.
Comply with applicable safety principles, laws, regulations, and standards, including CMS, The Joint Commission, DHHS, and OSHA requirements where applicable.

Nice To Haves

Bachelor’s degree.
Three to five years of related experience and/or training.

Responsibilities

Meet or exceed production targets toward membership goals.
Develop and manage business plans for key accounts.
Build strong, productive relationships with groups and their agents.
Oversee and execute onboarding and renewal processes for large employer groups.
Encourage networking with community leaders to promote Avera’s visibility and attend relevant industry functions and events.
Offer thoughtful solutions and recommendations to enhance account sales, growth, health, and retention.
Develop a book-of-business plan to support customer satisfaction and retention.
Provide clients with service that supports company performance objectives and own the service experience for clients and agents in the field.
Coordinate with internal service and operational departments to resolve complex eligibility, claims, and billing situations promptly and in accordance with Avera Health Plans policies, the Participation Agreement, and the Certificate of Coverage.
Interface with assigned brokers and consultants.
Manage assigned group renewals, including negotiating with Risk Management or Underwriters, positioning renewals with agents, and closing renewals.
Receive, renew, and document all steps of the group renewal process, including alternate quotes when requested.
Perform other duties as requested.
Apply Avera’s mission, vision, core values, and social principles in daily work; promote compassion, hospitality, and stewardship.
Uphold Avera’s Communication, Attitude, Responsiveness, and Engagement (CARE) standards and maintain confidentiality.
Work effectively in a team environment, coordinate workflow, and comply with applicable safety principles, laws, regulations, and standards.