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Director of Licensing and Contracting - Medicare

Health Plan One
Stamford, Full Time
POSTED ON 9/27/2023 CLOSED ON 1/23/2024

What are the responsibilities and job description for the Director of Licensing and Contracting - Medicare position at Health Plan One?

Duties/Responsibilities:

· Responsible for the management of a team that acts as a liaison between agents and the carriers that they represent to ensure agents are properly set up to succeed. This includes contracting, licensing, appointments, and certifications.

· Oversee all aspects of the credentialing/recredentialing of licensed health agents according to carrier partner guidelines and state DOI guidelines.

· Review, manage and enhance, when necessary, all processes/workflows to ensure that accurate information is being ingested into licensing/contracting database.

· Responsible for identifying opportunities to create semi automation/full automation and reduce manual processes. Work closely with the Technology team to research and implement changes.

· Assist in overseeing the successful implementation of AgentSync (new licensing and appointment management system).

· Serves as a knowledgeable resource and represents the department on project teams, internal meetings, and external carrier meetings.

· Perform weekly 1:1 with contracting & licensing manager to review team activity, goals, and performance.

· Act as a SME to all internal partners regarding license concerns pertaining to DOI background issues, insurance regulations issues (FINRA’s), etc. Act as a SME regarding carrier release issues

· Working closely with Finance in the development of the departmental budget and helps to control expenses while meeting operational requirements.

· Responsible for the management of the licensing & contracting department; establishing, implementing, and monitoring team goals and metrics.

· Performs other related duties as assigned.

Required Skills/Abilities:

· 5 years state DOI licensing and Insurance Carrier Appointment experience (agent licensing, agency licensing, DRLP, CE’s)

· 5 years in a managerial position driving results and taking initiative (prioritizing workload/projects, creating and implementing process), tracking team metrics.

· Bachelor's degree

· Ability to think strategically and manage towards established goals.

· Excellent verbal, telephone, and written communication skills

· Intermediate to advanced proficiency with Microsoft Excel (V-Lookup and pivot tables, Macros)

· Strong time management and organization skills

Preferred Skills/Abilities:

· Experience with AgentSync

· Utilization of Python

Physical Requirements:

· Prolonged periods of sitting at a desk and working on a computer, typically in an office environment (constant noise, fluorescent overhead lighting)

· Ability to travel 25%

Equal Employment Opportunity (EEO) is a fundamental principle at HPOne, where employment is based upon personal capabilities and qualifications. HPOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HPOne requires the necessary drug testing and background checks as part of our pre-employment practices. If assistance or accommodation due to a disability is needed, requests should be sent to: accommodations@hpone.com.

Job Type: Full-time

Benefits:

  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Work Location: In person

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