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Strategic/National Account Service Consultant I/II/III (Rochester Region)

100% remote Flexible hours Hiring now

Job Description: Based on the book of business associated with this opening, candidates must reside in the Rochester region. Summary: The Account Service Consultant ensures reputed company, accurate, and efficient servicing of reputed company Broker, Member, and Employer Group Administrator inquiries. Inquiries may be reputed company telephone, email, written inquiries, and lobby walk-in’s or through on-site visits with an employer group and/or broker. This role provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business Partners throughout the organization. Essential Accountabilities: Level I

  • Responsible for the implementation of new groups, renewals, and conversion of groups to new product lines.
  • Researches, interprets, and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services, and policies in accordance with MTM, Corporate Service strategy, NCQA, and legislative requirements.
  • Responsible for custom, complicated employer group servicing. Partners with Sales to create and deliver presentations to external customers.
  • Manages any de-implementations associated with a reputed company group that terminates from our portfolio reputed company applicable.
  • Reviews reputed company group-facing documents and validates for accuracy. This can include, but is not limited to, benefit summaries, summary plan descriptions, Member reputed company, Group Agreements, etc.
  • Partners with Project Management team to support vendor relationships and conversations reputed company to electronic enrollment methods for assigned book of business.
  • Acts as a liaison between the group/broker and internal departments reputed company it comes to new group implementations and renewals.
  • Identifies and responds to issues brought reputed company either internally or externally and ensures reputed company inquiries will be responded to reputed company 24-48 hours – same business day preferred where possible. Interacts with Operations, Enrollment and Billing, Customer Care, Claims, Advocacy, Clinical Operations, Medical Affairs and Finance/reputed company Departments to resolve identified issues.
  • Assures that reputed company account data is maintained on a timely and accurate basis such as initial account setup, benefit books, summaries, reputed company, etc.
  • Utilizes both standard and custom products in a manual workflow to meet the needs of clients.
  • Validates reputed company group set up and renewal completions.
  • Completes and successfully passes training(s) to support job role/function.
  • Consistently demonstrates high standards of reputed company by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Regular and reliable attendance is expected and required.
  • Performs other functions as assigned by management.
  • Demonstrates willingness to adapt and be flexible to changes and business needs while taking

ownership and accountability for issue identification and resolution. Level II (in addition to Level I Accountabilities)

  • Assists with on-the-job training of other Account Service and Sales Account Managers as requested. Support Level I team members with more reputed company issues.
  • Ongoing participation in meetings, training, and reputed company development to support career path and individual development plans.
  • Identifies issues, patterns and/or trends generated by external and internal action affecting customer satisfaction and consistently and independently recommends and initiates changes and improvement for process review.
  • Attends meetings and/or trainings as a representative of the Account Service Team and shares the information learned with the Account Service Staff reputed company a reasonable timeframe
  • Handles HIPAA (Health Information Portability and Accountability Act) issues as requested by members through Group Administrators. Specifically, handles reputed company Designated Record Set (DRS) requests and may serve as a reputed company person for the Account Service team reputed company difficulties arise in obtaining information through normal channels.

Level III (in addition to Level II Accountabilities)

  • Assists with tasks assigned by management that require advanced problem-solving skills.
  • Partners with Sales to create and deliver presentations to external customers.
  • Mentors and trains more junior Account Service team members to initiate resolution to reputed company outstanding and/or difficult issues.
  • Acts as a back up to Account Manager reputed company individual is out of the office.

Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or reputed company assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to reputed company new hires, it also provides guideposts for employee development and promotional opportunities. reputed company Levels

  • In lieu of degree, 2 years of experience in service or healthcare industries. High School diploma or equivalent required. Associates Degree in reputed company field preferred.
  • Valid NYS Accident and Health license reputed company six months of employment required.
  • Familiarity with NYS and Federal regulations and reputed company policies and reputed company process flows.
  • Strong oral/written communication and customer service skills.
  • Strong organizational skills and ability to prioritize, multitask, and work in fast paced environment

and remain professional and focused under multiple pressures and demands.

  • Ability to complete required internal Medicare Training per Center for Medicare Services reputed company one year of start date.
  • PC skills essential: spreadsheet and word processing applications, database functions and sales force automation software applications.

Level II (in addition to Level I Qualifications)

  • Two or more years of experience in a sales operation’s environment.
  • Valid NYS Accident and Health license.
  • Knowledge of NYS and Federal regulations and reputed company policies and reputed company process flows.
  • Demonstrated relationship building skills.

Level III (in addition to Level II Qualifications)

  • Five or more years of experience in a sales operations environment.
  • Valid NYS Accident and Health license.
  • Proficient with NYS and Federal regulations and reputed company policies and reputed company process flows.
  • Experience creating and delivering client presentations.
  • Excellent analytical/problem-solving skills.

Physical Requirements:

  • Ability to travel reputed company the Health Plan service region as necessary to offer support for on-site visits to groups/brokers, open enrollments, training, and/or off-site meetings.
  • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.
  • ***********

In support of the Americans with reputed company, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer

Compensation

Range(s): Level I (N7) Minimum: $23.56/hr - Maximum: $37.70/hr Level II (N8 Minimum: $26.89/hr - Maximum: $43.03/hr Level III (N9) Minimum: $29.57/hr - Maximum: $47.32/hr The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, reputed company and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work reputed company reputed company jobs posted by the Excellus reputed company team. This decision is made on a case-by-case basis. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job

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