Senior Account Manager, Managed Care

Senior Account Manager For Managed Care

As a Senior Account Manager for Managed Care, you will handle the day to day activity associated with our stop loss accounts, providing support to policyholders, brokers and program sponsors as well as providing back to the AVP, Underwriting/Managed Care. You'll also be responsible for special projects and managing vendor relationships for the division.
This role will be based in our Hamilton, NJ office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
What you can expect:
Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
Internal mobility opportunities
Visibility to senior leaders and partnership with cross functional teams
Opportunity to impact change
Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education
We'll count on you to:
Managed Care Submissions – download all RFP's. Review submission for missing data and follow up with brokers to acquire. Maintain the MC quote log, which enables tracking of all RFP's. Set up renewals.
Broker Interface – preparation of all policies and agreements as well as endorsements, and tracking and coordinating their execution. Broker liaison with BAH claim and finance departments.
Implementation Manual updates and customization for new clients.
Monthly premium reconciliation and tracking.
Creating and maintaining claims folders - save all documents i.e. policies, fee schedules, DOFR's and disclosure files for claim adjudication.
Auditor Liaison – work with internal and external auditors to coordinate documentation of MC processes and workflow, premium tracking and other required documentation.
As needed tasks – ie, provide calculations of retained and agg corridors for claims, track experience refunds due, and coordinate with actuarial to confirm calculations and eligibility.
What you need to have:
Bachelors' degree
Minimum of 5+ years' experience in Account Management and Stop Loss
Strong multi-tasking ability
Strong time management skills
Proficient in Microsoft Word and Excel
Strong consulting and interpersonal skills with an ability to interact with brokers, clients and service vendors
We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $70,000-$80,000. Eligible to participate in annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Internal employees should apply via Workday to the internal careers site.
Sponsorship not Offered for this Role