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TX Health Benefits Pool
TX Health Benefits Pool
51 – 200 Xodimlar
KonsaltingSog‘liqni saqlashTibbiy sug‘urta
TX Health Benefits Pool — Texasda faoliyat yurituvchi, siyosiy-ma’muriy bo‘linmalar va ular qo‘llab-quvvatlaydigan davlat sektori jamoalariga xizmat ko‘rsatuvchi tibbiy sug‘urta imtiyozlari tashkilotidir. U a’zo tashkilotlarni birlashtirib, xodimlar va ularning oilalari uchun sifatli tibbiy sug‘urta ta’minotini yo‘lga qo‘yishga yordam beradi, shu bilan birga o‘zgarib borayotgan iqtisodiy sharoitlar hamda tibbiy sug‘urtada barqaror qiymatga bo‘lgan ehtiyojni hisobga oladi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariTXTexasGibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMijozlar bilan ishlash menejeriSotuv

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

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

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