Demo

Account Executive

Moda Health
Moda Health Salary
Portland, OR Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 3/27/2025

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.


Position Summary

Responsible for strategic account management and retention of our large group business. Primary focus is 100 group medical and dental accounts. Establish and maintain successful, strategic client and broker relationships. Execute on exceeding client’s needs and expectations to drive revenue expansion and client retention. This is a FT hybrid position based in Portland, Oregon.

Pay Range
$69,178.56 - $86,481.89 annually (depending on experience)
  • Position eligible for quarterly incentives and an annual profitability bonus
  • Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.


Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27747356&refresh=true

Benefits:

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays


Required Skills, Experience & Education:

  • Bachelor’s degree or equivalent specializing in health insurance and/or marketing, sales, underwriting or math.
  • 2-4 years Sales & Service and health insurance industry experience.
  • Demonstrates a consistent focus on surpassing results/goals.
  • Demonstrates consultative relationship skills.
  • Detailed understanding of account complexities with ability to communicate and to negotiate all areas related to the sales and service functions.
  • Knowledge of Medical and Dental insurance business as it relates to underwriting, processing of claims, handling of billings, customer service, and internally processes.
  • Demonstrates strong organizational skills and ability to organize and prioritize to meet established deadlines.
  • Ability to communicate customers and members interest and needs to internal project teammates to improve workflow processes.
  • Strong sales and presentation skills.
  • Strong statistical, analytical, problem solving, organizational skills with attention to detail.
  • The ability to deal effectively with a variety of individuals and groups related to the provision of services designed to retain existing accounts.
  • Ability to plan and execute an effective account management approach.
  • Ability to establish and maintain a key account prospect list for cross selling opportunities.
  • Proven ability to execute large group implementations.
  • Ability to communicate effectively both verbally and in writing.
  • Presents a positive and professional image in the communities we serve.
  • Ability to engage in community/networking opportunities outside of normal business hours.
  • Demonstrates proficiency in desktop application software including email, word processing, spreadsheets and creating presentations.
  • Maintain a valid driver’s license and a good driving record. Must be able to provide own reliable transportation.
  • Maintain a current Oregon Health Insurance license.
  • Ability to handle a pushcart/hand truck and be able to lift boxes up to 40 pounds in and out of a car trunk.
  • Provide necessary skills for the job, including mental, technological, and physical requirements

Primary Functions:

  • Fully responsible for the on-going service and retention of major accounts as assigned. Primary focus is 100 group medical and dental accounts. This includes personal service calls to agents and accounts, responding to both written and oral inquiries from the agent and/or account and the research and problem resolution of service issues with appropriate departments.
  • Conduct review of specific accounts reporting and performance guarantees, monthly, quarterly, and annually, ensuring delivery to agent and/or group in appropriate timeframe.
  • Develops and executes customer service plan and exceeds established standards.
  • Oversee analysis and identification of root causes of complex service issues for broker and customers; directs dedicated functional experts (billing, customer service, claims, etc.) on corrective action steps to ensure end to end resolution of the issue.
  • Review and analyze underwriting renewal calculations, prepares, and presents renewal letter to agent and/or account.
  • Coordinate benefit design changes, annual enrollment meetings, design and development of literature, and coordination of new ID cards and brochures.
  • Assist Marketing Service Coordinator, Marketing Coordinator, and Managers in the Request For Proposal (RFP) process for select groups. This includes analyzing for appropriate benefit design and funding arrangements, reviewing the RFP response, and ensuring professional packaging and deadlines are met. Responsible for follow up questions from agents and/or prospective accounts, attends and participates in final sales presentations.
  • Direct and coordinate the transition of select groups including designing and developing non-standard literature, enrollment applications, member guides, Q&As and other special marketing materials. Coordinate enrollment presentation to employees with agent and/or account. Represent Moda, conducting the presentation of employee benefit package. Schedule and lead internal transition meetings, ensuring the account transition to Moda is smooth and efficient.
  • Directs thoughtful, customer specific initiatives which deliver value added services through the execution of client specific business planning.
  • Mentor/Coach other service team members in account management techniques and leadership skills.
  • Perform other related duties as assigned.

Working Conditions & Contact with Others
  • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
  • Internally with Membership Accounting, Underwriting, Claims, Healthcare Services, Customer Service and Accounting. Externally with Agents, Brokers, Consultants and Group Administrators.


Together, we can be more. We can be better.


Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.

Salary : $69,179 - $86,482

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