- Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.
As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together.
This person will be an integral part of the Health Plans' sales team and will interact with plan members, employer groups and brokers who sell our products.
This is a hybrid position in which regular work onsite will be needed. - JOB SUMMARY/PURPOSE
- Assists current and prospective members through the Commercial, Medicare, and TPA sales process. Performs diversified coordinating functions and problem solves to improve effectiveness. Manages the Agency Appointment process. Assists in group enrollment (occasionally onsite), responds to Employer or Broker inquiries regarding group enrollments, and compiles literature/collateral materials, rates and benefits, etc. Generates a variety of reports and statistical information in support of the Commercial, Medicare, and TPA lines of business. Makes the needs of plan sponsors and their brokers a primary focus of their actions. Develops and sustains productive relationships with Group administrators and their brokers. Responds quickly to meet employer/broker needs and resolves problems. Works closely with Sales Representatives to ensure all materials are prepared for Broker/Group meetings. Supports assigned client relationships by maintaining a professional working relationship and ensuring contract compliance. Facilitates on-going service needs by interfacing with internal and external customers, vendors and SHPO functional areas to meet customer requirements.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Associate's degree or equivalent directly related experience required.
- Three (3) years experience in sales/marketing, finance, computer systems or the health benefits industry required, one (1) year of which must have been within an Insurance Sales or Marketing area.
- Active Oregon Health Insurance License required within three (3) months of hire.
- Experience in the following required:
- Conducting analysis of products, services/processes, computer support, administrative support and customer support activities.
- Commercial sales/service setting.
- Supporting users in a CRM environment.
- Microsoft Office, including Word, Excel and PowerPoint.
- KNOWLEDGE/SKILLS/ABILITIES
- Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
- Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
- PHYSICAL DEMANDS
- Rarely
(1 - 10% of the time)
Occasionally
% of the time)
Frequently
% of the time)
Continually
% of the time)
CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36" Lbs
LIFT (Knee to chest: 24"-54" Lbs
LIFT (Waist to Eye: up to 54" Lbs
CARRY 1-handed, pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH pounds force)
PULL pounds force)
SIT
CARRY 2-handed, pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
- Rarely
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