Benefits Systems Manager - Healthcare jobs in Virginia
Benefits Systems Manager - Healthcare manages the implementation and upkeep of benefits system for managed care and provider data. Monitors systems to ensure medical management needs are met. Being a Benefits Systems Manager - Healthcare ensures fee loading and coding is accurate. Requires a bachelor's degree. Additionally, Benefits Systems Manager - Healthcare typically reports to a head of a unit/department. The Benefits Systems Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Benefits Systems Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Recently Added Benefits Systems Manager - Healthcare jobs
Benefits Account Manager
- Business Benefits Group
-
Fairfax, VA
FULL_TIME
-
Job Summary/Objective
The Benefits Account Manager will play a pivotal role in ensuring the satisfaction and retention of BBG’s clients. This position is responsible for overseeing pre-renewal workflows, implementing insurance carrier renewal strategies, managing open enrollment procedures, and fostering strong client relationships. The Benefits Account Manager will provide clients with a seamless renewal experience while offering expert consultation on insurance plans and benefits.
Essential Functions/Duties
The essential functions include, but are not limited to the following:
- Build and nurture client relationships, understanding their goals and objectives for their benefit plans.
- Discuss the advantages and disadvantages of various insurance plans to assist clients in decision making.
- Assist clients throughout their annual benefits renewal process, including pre-renewal workflows and open enrollment.
- Develop and execute insurance carrier renewal strategies aligned with client needs and objectives.
- Create comprehensive renewal spreadsheet analyses for each client, ensuring accuracy and clarity.
- Prepare and distribute renewal documents such as benefits guides for open enrollment meetings. Assist in marketing clients’ benefits and creating kits for open enrollment meetings.
- Implement post-renewal strategies to address any changes or adjustments required after the renewal process.
- Respond promptly to client inquires via phone and email regarding the renewal process, providing guidance and information as needed.
- Communicate effectively with insurance carriers regarding client renewals and policy confirmations.
- Update internal systems (i.e., BKB, Excel files, client folders) with accurate renewal notes and information.
- Process all new business paperwork for all virgin groups as assigned and update BKB accordingly.
- Process all new business paperwork for new lines of coverage outside of renewal and update BKB accordingly.
- Complete necessary forms and technology updates throughout the renewal process to maintain accuracy and compliance.
- Ensure the accuracy of the client’s current policies, verifying that all members have requested coverage as needed.
- Proactively communicate with clients and carriers to help solve problems, addressing client and carrier concerns efficiently.
- Organize and conduct educational sessions for clients to enhance their understanding of benefits and wellness programs.
- Administer benefit surveys to gather feedback and tailor benefits plans to meet client and employee needs.
- Develop customized materials to assist clients in communicating benefits information to their employees.
- Conduct quarterly claims reviews to identify trends and cost savings opportunities.
- Serve as a liaison with insurance carriers and providers to resolve claims issues and aid with the appeals process. Assist with prior authorizations, ID card requests, and network searches.
- Respond promptly and professionally to client employee inquiries, providing accurate and thorough information regarding benefit plans, coverage, and eligibility.
- Update system(s) to reflect employee enrollments, terminations, and changes with carriers and vendors.
*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required Skills and Abilities
- Possess an understanding of employee benefits programs, including knowledge of various benefit types, compliance with relevant regulations, and awareness of emerging trends and best practices.
- Provide empathetic and supportive assistance to clients and employees by being responsive to client needs and proactively seeking opportunities to enhance the client experience.
- Ability to identify areas of improvement and implement innovative solutions to optimize processes, streamline operations and workflow efficiency.
- Excellent written and verbal communication skills to effectively convey information clearly and transparently.
- Experience in building and maintaining strong client relationships, understanding clients’ unique needs, and providing customized insurance solutions.
- Detailed-oriented and organized with excellent project management abilities.
- Strong critical thinking skills to analyze complex scenarios and develop solutions for clients.
- Familiarity and proficiency in using relevant software applications, including Customer Relationship Management (CRM) systems, Microsoft Office Suite, and other tools used for client management and communication.
- Commitment to staying updated on industry trends, regulations, and best practices.
- Adhere to ethical standards and maintain confidentiality when handling sensitive employee and client information.
Education and Experience
Required:- 2 or more years of experience in a customer support or account management position within the Employee Benefits Insurance industry.
- High School Diploma/GED
- Virginia Life and Health Insurance License.
*5 or more years of experience at BBG or in the insurance industry is required for the Senior Benefits Account Manager position.
Preferred:- Associate or Bachelor’s Degree in Business Administration or a related field.
Supervisory Responsibilities
This position does not have any supervisory responsibilities.
Travel Requirements
This position occasionally requires daytime travel and infrequently requires overnight travel. A valid driver’s license and reliable transportation are required for this position.
Work Environment & Physical Demands
This position can be performed remotely, on a hybrid schedule, or full time in an office. The Benefits Account Manager operates within a professional work environment. The work environment is characterized by a collaborative and client-focused atmosphere, fostering teamwork and open communication. The work setting is equipped with modern technology and software necessary to perform job responsibilities effectively. The Benefits Account Manager may spend time traveling during the week to meet with clients. The noise level for this position can range from low to moderate, depending on the specific work environment.
The Benefits Account Manager may occasionally need to adapt to changing work demands, such as handling urgent client requests, participating in team meetings, or assisting colleagues during peak periods.
The Benefits Account Manager should be prepared to engage in a variety of activities that require physical effort and mobility:
- Driving: The Benefits Account Manager may spend time driving to client meetings.
- Sitting: A significant portion of the workday involves sitting at a desk while using a computer, handling paperwork, and communicating with clients and co-workers.
- Standing and Walking: Some tasks, such as attending in person meetings, interacting with colleagues, and moving within the office space, may involve standing and walking.
- Typing and Writing: This position requires frequent typing, data entry, and documentation. Effective written communication is essential for drafting emails, reports, and client communications.
- Lifting and Carrying: Occasionally, the Benefits Account Manager may need to lift and carry files or documents, generally weighing up to 10 pounds, in the office.
- Telephone and Communication: This position involves significant telephone communication with clients, carriers, and team members, requiring clear and effective verbal communication.
- Visual and Auditory Abilities: The ability to read documents, analyze data, and view computer screens for extended periods is necessary. Good auditory skills are essential for effective communication via telephone and in-person conversations.
- Multitasking and Time Management: This position often involves managing multiple tasks simultaneously and prioritizing time effectively to meet client needs and deadlines.
Other Duties
The above job description is intended to describe the general nature and level of the work being performed by employees assigned to this job title. This is not an exhaustive or comprehensive list of all duties, tasks, and responsibilities. Employees will be expected to perform duties that do not appear on the job description. Management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
EEO Statement
Patriot Growth Insurance Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, leave of absence, compensation, benefits, and training. - 1 Month Ago
District Sales Manager
- North American Senior Benefits
-
Norfolk, VA
FULL_TIME
- North American Senior Benefits We're looking for a driven and motivated area sales manager to join our fast-paced team. You will bring exceptional sales skills to drive new business to multiple proper...
- 6 Days Ago
Commercial Lines Account Manager
- Business Benefits Group
-
Fairfax, VA
FULL_TIME
- Job Summary/ObjectiveThe P&C Account Manager is responsible for providing exceptional customer service, managing client accounts, and ensuring accurate policy information. This position focuses on cli...
- 11 Days Ago
Compensation and Benefits Manager
- Hill Valley Healthcare
-
, VA
FULL_TIME
- Job description Compensation and Benefits Manager Job Posting We are looking for a compensation and benefits manager to plan and oversee our company's compensation and benefits programs. You will be r...
- 7 Days Ago
Healthcare Systems Analyst
- Aegis Corps, Inc.
-
Falls, VA
FULL_TIME
- ACI is seeking a Health Care Systems Analyst to join our team supporting the Department of Defense (DoD), Defense Health Agency (DHA). We provide data analytics using daily, weekly and monthly reports...
- 21 Days Ago
Healthcare Data Analyst Mid
- JP Systems, Inc.
-
Tulsa, VA
FULL_TIME
- Make a difference in the future of global healthcare! Join our JPSys team! HealthCare Data Analyst Mid. “Our mission is to standardize, manage and improve the interoperability and usability of clinica...
- 13 Days Ago
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- Epic HCM
-
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- Epic HCM
-
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Business Development Manager - Health Care
- The Care Team Home Health & Hospice
-
Farmington Hills, MI
- Job Description Job Description The Care Team The care you deserve and the support you need. Come join our growing team!...
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- Center for Family Health and Education
-
Los Angeles, CA
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- American Heart Association
-
Dallas, TX
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About Virginia
Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Manager - Healthcare jobs
$96,974 to $137,084
Most Popular Cities in Virginia for Benefits Systems Manager - Healthcare Jobs
What does a Benefits Systems Manager - Healthcare do?
Benefits Systems Manager - Healthcare in Santa Ana, CA
The software offers healthcare professionals the ability to identify health related trends and more thoroughly target healing efforts based upon those results.
February 03, 2020
Benefits Systems Manager - Healthcare in Charlotte, NC
As such, our survey results are not comparable to the healthcare research and analysis conducted by others such as the Congressional Budget Office, RAND and the Urban Institute.
November 28, 2019
Benefits Systems Manager - Healthcare in Amarillo, TX
One example of this in action comes from the University of Southern California’s Public Health Program, which utilizes geographic information systems in many of its different initiatives, including the Cancer Surveillance Program.
December 12, 2019