Client Management Lead - Hybrid

About the position

AvMed, a division of Sentara Health Plans in the Florida market, is hiring an Onsite Client Management Lead in Sunrise, Florida. This is a hybrid position, requiring 2 days in the office at our Doral location, 1 day in the office at our City of Sunrise location, and 2 days remote. The Client Management Lead achieves personal client management production requirements while providing guidance to the team. This role involves developing and maintaining strong external relationships with prospects, clients, and agents, while also informing and sharing needs, realities, and experiences related to the Commercial Group market. The Client Management Lead brings a sense of urgency to identifying roadblocks and developing solutions to meet growth and profit targets within the Commercial Group market. This position acts as a Subject Matter Expert on all issues related to the needs and expectations of the employer group. The essential job functions include developing and maintaining relationships with customer groups, brokers, and consultants, as well as client administrators, staff members, and employees. The Client Management Lead is responsible for delivering an exceptional client/member experience that demonstrates AvMed's service standards and values. This role also involves resolving day-to-day client issues by evaluating situations, determining when to escalate, and recommending solutions. The Client Management Lead serves as a liaison between the client and AvMed departments to ensure timely and accurate resolution of client and member issues, providing clarification and education on AvMed products, policies, and procedures. Additionally, the role includes monitoring membership eligibility, reconciling discrepancies, providing COBRA administration, and performing audits as needed. The Client Management Lead handles more complex and critical client issues, supports the Client Management team in planning and coordinating the annual renewal process, and assists in open enrollment meetings to familiarize existing and potential members with the benefits offered. This position is also responsible for facilitating wellness initiatives and visiting assigned clients on a scheduled basis. The Client Management Lead is expected to accomplish or exceed retention, profitability, and growth goals related to assigned commercial accounts, contribute to the development of innovative Client Management initiatives, and provide operational input to product development processes and advertising plans. Regular reporting is also a key responsibility, with the submission of weekly, monthly, periodic, and special reports as required.

Responsibilities
? Develops and maintains relationships with customer groups, brokers, and consultants.
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? Delivers an exceptional client/member experience demonstrating AvMed's service standards and values.
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? Interacts with consultants and health care coalitions as required.
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? Provides personal on-site assistance to employees and administrators with inquiries about the client's Health Plans.
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? Resolves day-to-day client issues by evaluating situations, determining when to escalate, and recommending solutions.
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? Serves as a liaison between the client and AvMed departments to ensure timely and accurate resolution of client and member issues.
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? Provides clarification and education to the client on AvMed products, policies, and procedures.
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? Monitors membership eligibility, reconciles discrepancies, provides COBRA administration, and performs audits as needed.
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? Handles more complex and critical client issues.
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? Supports the Client Management team in planning and coordinating the annual renewal process.
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? Assists in open enrollment meetings to familiarize existing/potential members with the benefits offered.
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? Facilitates wellness initiatives such as fairs and meetings.
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? Visits assigned clients on a scheduled basis.
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? Accomplishes or exceeds retention, profitability, and growth goals related to assigned commercial accounts.
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? Contributes to the development of innovative Client Management initiatives.
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? Provides operational input to product development processes and advertising plans.
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? Submits weekly, monthly, periodic, and special reports.
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? Performs additional duties and responsibilities as assigned by management.

Requirements
? Bachelor's degree and 1 year related experience required OR HS graduate and 5 years related experience required.
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? Related experience includes Administrative, Business Acumen, Customer Relations, Employee Benefits, and Health Insurance Industry.
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? Must obtain 240 or 215 license within 90 days of hire.

Nice-to-haves
? 2 years' sales experience preferred.
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? Solid understanding and application of strategic account management skills.
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? Knowledge of HMO/group health insurance.
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? Strong verbal and written communication skills.
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? Ability to operate independently, with minimal supervision.
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? Ability to handle multiple functions and prioritize appropriately.
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? Ability to work with the public, both face-to-face and over the phone.
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? Ability to work effectively and efficiently with other departments.
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? Ability to effectively manage and resolve problems in a timely manner.
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? Ability to think creatively.
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? Ability to work in a fast-paced environment.
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? Basic knowledge of personal computers and fundamental software.
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? Proficient in Pivotal, Amisys, and other software used by Client Management Reps.

Benefits
? Medical, Dental, and Vision Insurance
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? Paid Annual Leave, Sick Leave
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? Flexible Spending Accounts
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? Retirement funds with matching contribution
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? Supplemental insurance policies, including legal, Life Insurance and AD&D among others
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? Work Perks program including discounted movie and theme park tickets among other great deals
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? Opportunities for further advancement within our organization

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