Account Representative I

Medica•Omaha, NE

12d•$56,600 - $84,840•Hybrid

About The Position

Medica is a nonprofit health plan serving more than a million members across Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Account Representative I supports the external broker distribution channel for new and renewing small group Commercial business, providing guidance on regulatory requirements, processes, products, and available value adds. The role also provides service on enrollment, billing, and claims issues. As a small group business specialist, the Account Representative develops expertise in Medica’s products, pricing, sales guidelines, and operational processes. In partnership with Agency Relationship Managers, the role consults with and educates brokers on Medica’s small group business, and interacts with the broker channel to quote, install, retain, and service fully and self-insured small group business. The position collaborates and negotiates with functional content specialists across operations to address client questions and demands, supporting client satisfaction and retention. This is an office role requiring onsite work at Medica’s Omaha, Nebraska office an average of three days per week. The full salary grade is $56,600–$97,000, with a typical hiring range of $56,600–$84,840. Salary placement depends on factors including education, experience, certifications or licensure, role scope, internal pay equity, and market data. Medica offers a total rewards package that includes competitive medical, dental, and vision coverage, PTO, holidays, paid volunteer time off, 401(k) contributions, caregiver services, and other benefits. Medica does not offer work visa sponsorship for this role; applicants must be legally authorized to work in the United States at application.

Requirements

Bachelor’s degree or an equivalent combination of education and experience.
Ability to gain thorough knowledge of federal and state regulations and Medica requirements related to small group validation and submission.
Strong interpersonal and relational skills in client service management.
Excellent written and verbal communication skills.
Ability to negotiate successful outcomes with clients.
Ability to work independently.
Self-driven, motivated, and results-oriented.

Nice To Haves

Relevant experience in customer service, vendor management, account management, group health, benefits administration, human resources, or a related area.
Demonstrated proficiency working with fully insured and self-funded health plans.
Experience working with brokers.
CRM experience, such as Salesforce or Brokerlink.

Responsibilities

Manage an assigned portfolio of small group accounts.
Prioritize workload, monitor account activity, and maintain accurate account documentation.
Build and maintain relationships to support retention and client satisfaction.
Research, coordinate, and resolve escalated service issues.
Manage inquiries related to eligibility, billing, enrollment, claims, and benefits.
Consult with and educate brokers on Medica’s small group business, including regulatory requirements, processes, products, and available value adds.
Quote, install, retain, and service small group fully and self-insured business.
Collaborate and negotiate with operational content specialists to address client questions and demands.
Perform other duties as assigned.