Brighton Health Plan Solutions, LLC
Location
New Haven, CT | United States
Job description
About The Role
Brighton Health Plan Solutions (BHPS) is seeking an outstanding National Account Manager with an extensive knowledge of PPO Networks, Self-Insured benefit plans and Third-Party Administration (TPA) organizations. This individual will be an integral part of Account Management and Sales Department with the main objective being Client Management as well as Client retention, Revenue Retention/Growth, and Relationship Management.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.
Primary Responsibilities The National Account Manager is the relationship manager and account professional assigned to a Confidential Client. The National Account Manager leads the governance process of the Account Management Operating Model. They are the resident expert when it comes to plan of benefits, account set up, plan sponsor reporting and operations. They are responsible for cultivating a relationship with the primary day to day customer contacts and supporting all renewal and relationship management activities.
- Responsible for managing the day-to-day, face-to-face relationship between BHPS and an assigned book of business comprised mainly of self-funded employer groups within the commercial market.
- Managing to specific sales goals and retention targets.
- Responsible for performing any of the following activities daily: On-site appointments with clients and prospects, pipeline development and management, client, and prospect presentations, preparing and interpreting data, internal and external resource management, and activity management.
- Meets with customer at least monthly to discuss service levels and expectations, share process improvements, discuss operation of plans, identify gaps in service levels, determine root causes and develop solutions.
- Identifying and leading retention strategies and revenue generating opportunities.
- Identify, understand, and document all relevant client/prospect data, client strategic business needs, market strategies, and network development requirements.
- Supports all plan administration activities, including installation, plan set-up, eligibility, billing and drafting, and open enrollment strategy by working proactively with support areas.
- Act as primary interface between the Client/Prospect and BHPS’s internal Operations, Account Management support groups, Network Management and Analytics, Finance, Marketing and Customer Service Departments to meet sales and retention requirements.
- Function as the single point of accountability to direct and coordinate the resolution of customer service, operational, financial and network issues, as well as identify opportunities for improvement.
- Develop, initiate, and coordinate with the Sales, Account Management, Client Support and Marketing Teams business growth strategies and action plans to expand the use of BHPS’s extensive services and capabilities.
- Identifies customer specific service issues, identifies solutions, and leads resolution of issues working with other areas to implement.
- Demonstrates proactive ability to diagnose and fix root cause drivers of service problems.
- Develops and manages service plans in the most proactive and strategic manner possible and finds new and innovative ways to show customers the value of the products and services they expect / purchase from TPA.
- Utilize BHPS’s Client Tracking System to manage and document all client-related activity requirements.
- Routine attendance at industry conferences, client visits, etc. Travel required.
- Accept direction from and manage to completion, specific delegated tasks related to the implementation of services including new service offerings, account implementations and system implementations related to the specific assigned clients in your book of business.
- Remains knowledgeable about BHPS’s products and services, as well as key industry issues and trends.
- Reviewing Client claim data, population data and trend data with the ability to make basic recommendations around wellness, gaps in care, opportunities to add vendors that make sense for population needs, all in partnership with our Clinical team.
- Proven ability to work independently.
- Proven ability to effectively manage multiple tasks while prioritizing to meet established deadlines.
Essential Qualifications - Bachelor’s degree in a related field.
- Minimum of five (5) years’ experience in both Sales and Account Management.
- Demonstrated ability to meet sales and retention targets.
- Excellent time management, communications, decision-making, and human relations skills.
- Strong leadership, strategic thinking, and organizational skills.
- Proactive thinker with proven problem-solving skills.
- Excellent computer skills in MS Office, Salesforce, and various web-based meeting platforms.
- Proven experience in solving client business issues with the ability to effectively present alternatives consistent with client needs.
- Life & Health Insurance license preferred.
- Ability to travel – 25% or more.
About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
DEI Purpose Statement
At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.
*We are an Equal Opportunity Employer
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