This position supports Large Group in the achievement of account retention and profitability goals, and to meet or exceed enrollment targets for membership. This role also supports activities promoting strategic relationship building with customers through the execution of Client Service's service models for large group and key accounts which defines the driving principles and protocols for account management activities with all constituents - brokers, consultants and client. Working with account managers, this position is responsible for contributing to and supporting all client services and account management activities to ensure that THP achieves the appropriate level of service for all constituents.

 

Job Description

• Supports Large Group in achieving retention and profitability goals by contributing to the critical activities required to support relationship building with brokers, consultants, and clients.
• Works with Account Managers to tailor meetings and presentations based on the case profile and historical performance.
• Performs product and plan design analysis to detem1ine optimal solutions for clients.
• Prepares executive summaries and key findings for proposals and RFP's; manages plan document and benefit checklist process works with Marketing to shape custom materials and develop client microsites (if applicable).
• Facilitates ad-hoc reporting requests and discussions with THP analyst, client, and broker.
• Documents, tracks and drives customer issue resolution by working successfully with internal teams to address escalated complaints and concerns from clients and brokers.
• Reaches out to external contacts about issues and follow-up activities as directed, provides plan documents and answers benefit questions.
• Articulates THP unique value proposition and capabilities.
• Assists Account Manager in the planning and coordination of annual renewal process and implementation. This may include working with the Sales Technology & Information team for reports, generation and validation of Summary of Benefits and Coverage (SBC), implementation check lists, and system updates.
• Conducts enrollment meetings, health fairs, Wellness activities, travelling to client locations in MA and in other states as needed.
• Develops a thorough understanding of THP's infrastructure and all aspects of client service delivery. Builds strong relationships with colleagues across functions, enhancing the ability to effectively partner and negotiate with internal work teams.
• Account Associates assigned to Large Group or Key Account Managers may also serve as project tean1 members for strategic initiatives, supporting the achievement of business objectives and/or account management functions.

 

Requirements

EDUCATION: Bachelor's degree is required.

EXPERIENCE: This role requires 1 to 3 years business support or customer service experience, preferably in managed health care.

SKILL REQUIREMENTS: The successful candidate must be able to work cooperatively as a team member with different levels of staff and have regard for confidential data, as well as adhere to the corporate compliance policy. This role requires presentation and meeting management skills to represent THP at client health fairs, etc. This role also requires flexibility, attention to detail, strong organizational skills and good judgment. Basic presentation skills, solid Tufts Health Plan knowledge and industry experience are also required.

The successful candidate must be able to work cooperatively as a team member and have exceptional relationship building skills. This role requires excellent interpersonal skills and the ability to communicate and interact professionally and effectively with a broad spectrum of people, both internally and externally, in person, via email and on the telephone. This position also requires customer service experience, communication skills, self-management, ability to act independently, technical aptitude and a basic knowledge of internal systems, Microsoft Office, CRM System, operations, and infrastructure.

 

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: Fast paced office environment requires handling multiple demands and exercising appropriate judgment as necessary. Must have the ability to prioritize, attention to detail and the ability to identify emergency situations and follow the appropriate protocol.

This role requires a high energy level; The successful candidate should be able to lift and carry heavy materials to off-site appointments and health fairs. This position spend 70% of the time in the office and 30% of the time on the road. Local travel while using own car with a valid driver' s license is required. Job may require early morning, evening or weekend hours.

 

CONFIDENTIAL DATA:  All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.

 

What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!

Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

 

About Us:

Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.

This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Req ID: R3859

Posted On: Tuesday, July 5, 2022