TX Health Benefits Pool
TX Health Benefits Pool
TX Health Benefits Pool — Техас штатында орналасқан, саяси-әкімшілік бөлімшелерге және олар қолдау көрсететін мемлекеттік сектор қауымдастықтарына қызмет көрсететін денсаулық сақтау жәрдемақылары ұйымы. Ол мүше ұйымдарды біріктіріп, қызметкерлер мен олардың отбасыларына сапалы медициналық қамту ұсынуға көмектеседі, сондай-ақ экономикалық жағдайлардың өзгеруі мен медициналық сақтандырудағы тұрақты құндылыққа деген қажеттілікті ескереді.

Account Executive – Texas Health Benefits Pool (Hybrid, Texas)

The Account Executive retains Texas Health Benefits Pool memberships through consultative health-benefits guidance. This role manages renewals, claims reporting, member relationships, and broker collaboration.

Сипаттама

  • Retain Pool membership through strong relationships with insured members
  • Advise members on health-benefit design decisions within budget constraints
  • Explain Pool value, benefits, and programs that support better outcomes and lower costs
  • Assess member needs and develop consultative recommendations
  • Lead pre-renewal strategy discussions, performance reporting, renewal negotiations, and customer-service activities
  • Partner with the Account Manager on service issues, renewals, reporting packages, and presentation materials
  • Build relationships with Benefit Coordinators, decision-makers, groups, brokers, and consultants
  • Conduct periodic and pre-renewal reviews, interpret claims reports, and provide tailored recommendations
  • Coordinate, delegate, monitor, and resolve member-service issues
  • Report member-group and broker relationship changes and potential opportunities to marketing leadership
  • Deliver competitive analysis and market-vulnerability insights to sales and marketing leadership
  • Attend regional and council meetings, bid openings, TXHB Board Meetings, and other requested events
  • Educate Benefit Coordinators and promote webinars, training, wellness events, and regional meetings
  • Maintain accurate daily records in Salesforce, the Member Database, and other appropriate systems
  • Set up, refer, and monitor cases through resolution
  • Lead open-enrollment meetings covering member education, enrollment, and benefit updates
  • Safeguard the confidentiality, integrity, and availability of TXHB information and records under security and privacy policies
  • Support new projects and other assigned departmental responsibilities

Талаптар

  • Current Texas General Lines license covering life, accident, health, and HMO insurance
  • Three to five years of experience in sales, account management, or benefit-plan management for fully insured health benefits and/or insurance products
  • Three to five years of experience working with varied healthcare plans and administrative services
  • Familiarity with underwriting for fully insured group health plans
  • Strong knowledge of the evolving vendor landscape, including marketplace entrants and emerging products and solutions
  • Five years of preferred experience servicing or selling group health-benefits administration, stop-loss, and/or insurance products
  • Bachelor’s degree or equivalent experience in healthcare, benefits, or insurance environments serving self-insured and fully insured groups, or a combination thereof
  • Experience advising on benefit-design decisions and funding strategy
  • Valid Texas driver’s license and ability to drive statewide for in-person visits
  • Demonstrated success renewing and retaining a client book of business
  • Ability to develop strategic competitive-market analyses
  • Ability to compile, analyze, and evaluate complex information, including claims data and reports
  • Outstanding communication, presentation, and public-speaking capabilities
  • Ability to foster collaborative teamwork and provide supportive leadership and mentoring
  • Strong organization, prioritization, and follow-through skills
  • Ability to meet sales and service requirements within the applicable range-criteria percentile
  • Willingness to travel frequently, including overnight stays in Texas; average travel is expected two to three days per week
  • Full proficiency with Salesforce and Microsoft Office, including Word, Excel, PowerPoint, and Teams
  • Technical ability to use TXHB online tools to research group information and historical documentation
  • Thorough knowledge of underwriting procedures for financing arrangements and benefit structures, including PPO, HMO, and HDHP plans
  • Thorough understanding of TXHB medical, pharmacy, surgery, vision, dental, spending-account, and Consumer Directed Health benefits and services
  • Practical knowledge of COBRA, HIPAA, personal health information, and related compliance regulations
  • Ability to communicate clearly, frequently stand, sit, and walk, lift or move up to 10 pounds frequently and up to 25 pounds occasionally, and travel regularly

Артықшылықтар

  • Company vehicle or vehicle allowance provided for frequent travel
  • Fully remote work with onsite attendance as required, Monday through Friday

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