Account Service Manager - Hybrid

UPMC•Pittsburgh, PA

21h•Hybrid

About The Position

UPMC Health Plan is hiring a full-time Account Services Manager to join the Sales Administration team. This position follows a hybrid work schedule, with three days per week in the office at the U.S. Steel Tower in downtown Pittsburgh on Monday, Wednesday, and Thursday. This role is commission-eligible and may require occasional travel; however, travel is expected to be limited. This position is responsible for assisting the Small/Mid, Mid, Large, and Key Account Managers and their respective directors in providing comprehensive service to our clients, in the implementation of new groups and renewal process for existing business, working with Account Managers and Account Executives resolving administrative and operational issues, assisting in planning and attending open enrollment and new business meetings. This comprehensive service will include: Implementation and set up of new business, assisting in the renewal process, working with client benefit representatives, resolving administrative and operational issues, meeting with Account Managers and Account Executives assisting in planning and attending open enrollment and new business meetings.

Requirements

Bachelors degree or equivalent industry experience required.
2 years of managed healthcare operational or account management experience required.
Effective planning and organization skills.
Ability to present information and ideas to others in an articulate and effective manner.
Ability to reason through problems, review alternate solutions, and reach sound conclusions.
Ability to work harmoniously with others.
Ability to learn new skills, concepts, and processes.
Ability to negotiate, argue persuasively, and use influence on others to achieve goals.
Ability to work independently without specific instructions.
Ability to prioritize and perform multiple tasks to meet established deadlines.
Ability to manage client and producer interaction, and identify any root causes and provide valuable solutions.
Computer skills with proficiency in Microsoft Office including: Word and Excel.
PA Health and Accident License required within 90 days of hire.

Nice To Haves

Prior client service experience preferred.
Knowledge of IKA/Salesforce and MC400 preferred.

Responsibilities

Update UPMC EP-MUW/Salesforce with all pertinent client data, meetings, issues, renewals, etc.
Review roster and ID cards for accuracy prior to mailing.
Coordinate Enrollment process, whether paper, electronic or on-line.
Request communication materials (i.e. Open Enrollment Kits, applications, program literature, etc.).
Participate in projects as assigned by Supervisor or Manager
Request membership moves, when necessary.
Assist in the renewal process including completing the GEF request form. Working with the GEF Coordinator to ensure GEF is input accurately (Groups/subgroups/plan codes/riders/rates).
Utilize and update Mid/Large/Key Group Implementation Guide.
Schedule and attend Open Enrollment Meetings as necessary (including ordering renewal packets and give-away items).
Meet with client benefit representatives.
Serve as the UPMC Health Plan/client liaison for administrative and operational issues.
Obtain competitive intelligence regarding client's other carriers.
Understand all UPMC Health Plan products, policies and procedures including departmental policies.
Identify solutions to correct administrative and operation issues and work with other departments to prevent future occurrences.
Review RFP and contracts for accuracy