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Account Executive jobs at SCAN Health Plan - 65 jobs

  • Field Marketing Executive - Los Angeles County/Orange County CA

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Field Marketing Executive plays a crucial role in driving lead generation and supporting the local sales team through grassroots marketing, community outreach, and event execution. The Field Marketing Executive works directly in the field to identify opportunities, build relationships, and activate strategies that contribute to sales growth, branding, and increased community presence. Ultimately, the Field Marketing Executive contributes to market growth objectives. The Field Marketing Executive works with agents and their leaders to create plans that drive new enrollments, increase retention of existing members, and build meaningful relationships with community organizations and influencers. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Key Responsibilities:** + **Liaison Role:** Act as a liaison between markets, sales, and community partners to ensure seamless coordination and execution. + **Team Culture:** Foster a collaborative, mission-driven team culture focused on growth, impact, and accountability. + **Outreach Strategies:** Develop and implement local outreach strategies, including events and partnerships, to generate quality leads. + **Lead Cultivation:** Identify and cultivate high-potential lead sources, including T65 opportunities. + **Performance Monitoring:** Track and measure grassroots marketing, community outreach, and event success. + **Community Engagement:** Build and maintain strong relationships with community organizations, local businesses, and other stakeholders. + **Event Execution:** Plan and execute community events to enhance brand visibility and generate leads. + **Reporting:** Prepare and present regular reports on outreach activities, performance, and outcomes. **Use your skills to make an impact** Q **ualifications:** + **Must reside in Los Angeles or Orange County, CA or surrounding areas** + **Must be willing to travel within the community, as this is a field-based role.** + A bachelor's degree in marketing, business, communication, or a related field or equivalent experience + Proven experience in community outreach, grassroots marketing, or related roles. + Must be proficient in MS Office products and various CRM platforms, + Strong communication and interpersonal skills. + Ability to work independently and as part of a team. + Excellent organizational and time management abilities. + Broad knowledge/skills to work in various field settings that align with our prospect base, such as Veterans, multi-cultural (partnering with empowered agents to help) + Must be willing to travel within the community, as this is a field-based role. **Preferred Qualifications:** + Master's Degree + Life and Health Insurance License required + Bilingual + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional Information** **Humana Perks:** Full time associates enjoy: + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $64,100 - $86,600 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-15-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $64.1k-86.6k yearly Easy Apply 30d ago
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  • Vice President, Business Software Development (Hybrid)

    Carefirst 4.8company rating

    Washington, DC jobs

    **Resp & Qualifications** **PURPOSE:** This leader is responsible for developing and delivering system solutions for Claims Processing, Enrollment Operations and Customer and Member Services. Also, responsible for developing strategic multi-year application roadmaps, participating in strategic planning sessions, influencing strategic investment decisions, then aligning resources and executing the strategic plan. An executive responsible for fostering a high-performing team focused on continuous improvement and challenging the status quo. **ESSENTIAL FUNCTIONS:** + Directs organization in defining application solutions for the claims processing, enrollment operations, and customer and member service lines of business. This includes defining multi-year strategic roadmap, gaining alignment with senior leadership to manage budgets and communicating to the value of the product offerings. + Responsible for directing the end-to-end delivery of strategic system initiatives and system enhancements related annual statements of work (SOWs) for claims processing, enrollment operations and customer and members service lines of business. Executive sponsor for SOWs providing management oversight, budget control, and decision making. + Advance emerging software development and deployment technologies and methods that provide high quality and stable applications that meet current and future business direction and improves time to market. + Partner with business stakeholders while serving as a trusted advisor on new trends and best practices in software development and delivery. + Oversees the strategic and the day-to-day activities of the Department, including directing, coaching, and guiding associates to implement departmental, divisional, and organizational mission/goals. Recruits, retains, and develops a high performing team. Evaluates performance of each team member, generates development plans and sets goals within the context of the corporate policies and procedures. Develops annual goals, and prepares, monitors, and analyzes variances of departmental budgets to control and appropriately allocate resources. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Business, Information Systems or industry related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience** : 15 years Progressive management and executive leadership experience in software development capacity. **Preferred Qualifications** : + Expertise in Software Development Life Cycles and a demonstrated ability to transform an organization from a traditional Waterfall methodology to an Agile methodology. + Prior experience as a lead or chief developer for the purposes of having a thorough understanding of the work the department is responsible for delivering and applying best practices to optimize the software development discipline. + Demonstrated success creating application development standards that ensure applications are developed, deployed, and maintained in accordance with Enterprise and Business Architecture standards and roadmaps. + Demonstrated success migrating enterprise applications to the Cloud. + Competency in strategic thinking and leadership with strong abilities in relationship management. + Knowledge of and demonstrated success in organizational transformation. + A proven track record of delivering high quality applications on time and within established budgets. **Knowledge, Skills and Abilities (KSAs)** + Leading large scale technology transformation initiatives. + Very strong communication skills both written and verbal. + Strong collaboration skills in a team environment. + Ability to think strategically. Salary Range: $194,400 - $291,600 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Business Solution Delivery - V **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship. \#LI-SD1 REQNUMBER: 21377
    $194.4k-291.6k yearly 60d+ ago
  • Provider Engagement Account Executive

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Highly preferred that candidate resides in either the state of Oregon in either Eugene, Portland or surrounding areas. Role will include local travel.*** Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with providers to ensure delivery of the highest level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. Serve as a strategic partner/primary contact for hospital systems, multi-specialty groups, and large PCP groups with Value Based/Risk Components. Executes provider performance improvement strategies in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Builds strong interpersonal relationships with cross functional teams both externally (provider) and internally (health plan)-C-suite Level Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved provider performance Resolves provider issues as needed for resolution to internal partners and creating efficiencies to prevent continued concerns Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Evaluates provider performance and develops strategic plan to improve performance Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC) Acts as a lead for the external representatives Coaches and trains external representatives Ability to travel locally 4 days a week Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA).: Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Executive level exposure and ability to influence desired outcomes, innovation, performance, member improvements, growth and Provider retention Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams. Highly proficient in HEDIS/Quality measures, cost and utilization. Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $87.7k-157.8k yearly Auto-Apply 9d ago
  • Account Executive III (Specialty Pharmacy)

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: For this role we are seeking candidates who live in New Jersey*** Position Purpose: Represent the company to all prospective and existing clients. Monitor client satisfaction and recommend changes to enhance satisfaction. Serve as a resource to other Account Executives. Perform sales and marketing related activities for our specialty pharmacy Partner with doctors and their practices to help patients get their specialty medications approved by insurance, their copays manageable and their shipments of meds arranged Serve as the contact for client issues and inquiries and collaborate with various departments on resolutions ensuring clients needs are met Analyze and utilize company provided data to identify potential business opportunities and grow business Document sales activity in company CRM software Complete basic administrative tasks in a timely manner Develop and maintain relationships with various levels of clients utilizing current network for additional accounts Monitor client satisfaction and recommend appropriate strategies, tactics, and operational initiatives to continuously enhance client satisfaction Partner with pharmaceutical partners with whom we have contracts to ensure streamlined business Work with them to gain access into offices where they may have access/relationships Attend patient care conferences and professional in-services to ensure continuance of new products and strategies Education/Experience: Bachelor's degree in Business Administration, related field or equivalent experience. 5+ years of sales experience. Knowledge of third party reimbursement. Clinical patient support experience in physician's office, hospital or pharmacy setting preferred. Sales experience in pharmaceuticals/pharmacy or healthcare or equivalent in account management strongly preferred. License/Certification: Current state's driver license. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 11d ago
  • Manager, Account Consultants (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** **_CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS._** **PURPOSE** Manages and supports the sales growth and retention of assigned Account Consultants for Mid-Market (51-99) market segments. Conducts sales and service to assigned accounts. Monitors the development and implementation of strategic long-term customer relationships. Achieves targeted Retention Sales goals for the unit. **ESSENTIAL FUNCTIONS** + Develops account strategies in accordance with overall strategy. Works with the team and Brokers to maximize retention and growth. Manages the Renewal support/service functions essential to day-to-day account, service, productivity, implementation and retention. + Develops account goals and business plan with customer. + Conducts regular reviews of business performance, promotion strategies, and planograms. + Forecasts, budgets, and tracks account revenues and cost for a single account. + Responsible for staff development and ongoing monitoring of metrics to measure performance. + Reporting responsibilities for team Retention, Incentive and Books of Business for Consultants. **QUALIFICATIONS** **Education Level:** Bachelor's Degree in Business, Finance or related field. In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** + 5 years sales experience. + 1 year supervisory experience or demonstrated progressive leadership experience. **Licenses/Certifications:** + Current health and life license for the jurisdictions of Maryland, DC, and Virginia is required. **Preferred Qualifications** + Experience in a health care setting in sales. **Knowledge, Skills and Abilities (KSAs)** + Strong presentation skills. + Strong negotiation and relationship building skills. + Excellent communication skills both written and verbal. + Microsoft Applications. + Knowledge and understanding of CRM,Excel and Salesforce, and other client management tools. **Salary Range:** $112,000 - $189,000 (Base Salary Range is based on education, experience & internal equity plus this role offers a Sales Incentive). **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Renewal 51-99 **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21536
    $112k-189k yearly 34d ago
  • Sales Support Professional

    Humana 4.8company rating

    Juneau, AK jobs

    **Become a part of our caring community and help us put health first** The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The _Sales Support Professional 1_ will provide sales support to the Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented with outstanding analytical abilities, this role will be great for you. Will be supporting the North Region and clients in EST/CST Timezones. **_Daily Job Function:_** + Provide support to the Sales team throughout the sales cycle. + Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client + Support sold groups in the implementation process, including, but not limited to: + Collect required materials for Account Installation. + Submit all sold paperwork to Implementation + Complete LMG system updates ( Launch my Group (LMG) + Attend Implementation call + Partner with and provide support to brokers as they navigate Humana. Answer general benefit questions and respond to brokers with marketing flyers. + Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service. + Creation and Distribution of scheduled market communication. + Agent bonus tracking and organization. + Maintain a strong connection with internal market team members, collaborate to achieve results and solutions. **Use your skills to make an impact** **Required Qualifications** + Previous Sales Enablement or Project Management experience + Great with computers including Microsoft Word, OneNote, PowerPoint, Outlook, with an advanced level skillset using Excel + Excellent verbal & written communication skills. + Previous experience with Client Relationship Management Systems (CRM's) with a preference of the Sales Force platform + Must be self-motivated and outgoing with a positive attitude and professional etiquette. + Strong analysis, critical thinking, and analytical problem-solving skills + Ability to handle multiple tasks and deadlines with high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration for market goals + Ability to work cross departments to maximize collaborative potential on market outcomes **Preferred Qualifications** + Group Benefits and systems knowledge + Bachelor's Degree. + Healthcare or insurance industry experience. **Additional Information- Remote position, may require in person events/meetings on rare occasions** **WAH Information** : To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-20-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $53.7k-72.6k yearly 7d ago
  • Manager, Enterprise Compliance Corrections

    Centene Corporation 4.5company rating

    Jefferson City, MO jobs

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** Manages team within the Compliance Corrections department responsible for remediation of non-compliance issues with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations, and Company policies and procedures. Supports data integrity and reporting related to the internal and external corrective action plan lifecycle. Ensures data quality, interprets non-compliance trends, and develops Corrections reporting methodology in conjunction with Compliance leadership. + Develops policies, procedures, and process to comply with federal program regulations, and any applicable state regulations. + Develops reports and deliverables and make recommendations to management. + Identifies recommendations that have a significant impact on organization goals and objectives. + Appropriately influences management to improve performance and assist leadership in meeting organization goals. + Assists management in driving business decisions based on data. + Manages compliance reporting responsibilities and respond to inquiries from stakeholders and leaders within the organization. + Assists in the identification, analysis, and resolution of compliance issues. + Communicates program status to management and key stakeholders. + Maintains trusted, collaborative relationships with leadership to promote an appropriate level of engagement in the Corrections process. + Hires, manages, and develops direct reports that supports the organization mission. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** + Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required + Master's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field preferred + 4+ years Compliance experience, preferable in healthcare environment required + 1+ years Medicaid, Medicare or Commercial Managed Care experience required + 2+ years Supervisory or management experience preferred + Previous experience demonstrating effective interaction with federal and state regulatory agencies in a manage care or insurance environment preferred Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $86k-154.7k yearly 27d ago
  • Sales Support Professional

    Humana 4.8company rating

    Montgomery, AL jobs

    **Become a part of our caring community and help us put health first** The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The _Sales Support Professional 1_ will provide sales support to the Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented with outstanding analytical abilities, this role will be great for you. Will be supporting the North Region and clients in EST/CST Timezones. **_Daily Job Function:_** + Provide support to the Sales team throughout the sales cycle. + Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client + Support sold groups in the implementation process, including, but not limited to: + Collect required materials for Account Installation. + Submit all sold paperwork to Implementation + Complete LMG system updates ( Launch my Group (LMG) + Attend Implementation call + Partner with and provide support to brokers as they navigate Humana. Answer general benefit questions and respond to brokers with marketing flyers. + Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service. + Creation and Distribution of scheduled market communication. + Agent bonus tracking and organization. + Maintain a strong connection with internal market team members, collaborate to achieve results and solutions. **Use your skills to make an impact** **Required Qualifications** + Previous Sales Enablement or Project Management experience + Great with computers including Microsoft Word, OneNote, PowerPoint, Outlook, with an advanced level skillset using Excel + Excellent verbal & written communication skills. + Previous experience with Client Relationship Management Systems (CRM's) with a preference of the Sales Force platform + Must be self-motivated and outgoing with a positive attitude and professional etiquette. + Strong analysis, critical thinking, and analytical problem-solving skills + Ability to handle multiple tasks and deadlines with high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration for market goals + Ability to work cross departments to maximize collaborative potential on market outcomes **Preferred Qualifications** + Group Benefits and systems knowledge + Bachelor's Degree. + Healthcare or insurance industry experience. **Additional Information- Remote position, may require in person events/meetings on rare occasions** **WAH Information** : To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-20-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $53.7k-72.6k yearly 7d ago
  • Senior Sales Compensation Professional - IFG

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Senior Sales Compensation Professional performs ongoing administration of calculating and paying sales commissions. The Senior Sales Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Sales Compensation Professional interacts with sales employees to resolve any issues or explain sales payment details. Associate will focus on Life Insurance commissions, payments to downlines, tracking of debt, submission of Vectors to collect debt Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's degree, preferably in Business, Finance or Mathematics 2 or more years of experience with large datasets Hands-on experience with TSQL or other database query languages. Demonstrated experience in MS Access and/or MS Excel Direct experience with commission statements, calculation, and audits Strong oral and written communication skills Proven record of critical thinking and problem-solving experience Dedication to accuracy and strong attention to detail Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications SQL experience Experience with Kizen, Varicent, REM or similar commission tools Additional Information Humana Perks: Full time associates enjoy: Medical, Dental, Vision and a variety of other supplemental insurances Paid time off (PTO) & Paid Holidays 401(k) retirement savings plan Tuition reimbursement and/or scholarships for qualifying dependent children. And much more! Social Security Task: Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. Virtual Pre-Screen: As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-22-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $78.4k-107.8k yearly Auto-Apply 2d ago
  • Sales Support Professional

    Humana 4.8company rating

    Sacramento, CA jobs

    **Become a part of our caring community and help us put health first** The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The _Sales Support Professional 1_ will provide sales support to the Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented with outstanding analytical abilities, this role will be great for you. Will be supporting the North Region and clients in EST/CST Timezones. **_Daily Job Function:_** + Provide support to the Sales team throughout the sales cycle. + Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client + Support sold groups in the implementation process, including, but not limited to: + Collect required materials for Account Installation. + Submit all sold paperwork to Implementation + Complete LMG system updates ( Launch my Group (LMG) + Attend Implementation call + Partner with and provide support to brokers as they navigate Humana. Answer general benefit questions and respond to brokers with marketing flyers. + Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service. + Creation and Distribution of scheduled market communication. + Agent bonus tracking and organization. + Maintain a strong connection with internal market team members, collaborate to achieve results and solutions. **Use your skills to make an impact** **Required Qualifications** + Previous Sales Enablement or Project Management experience + Great with computers including Microsoft Word, OneNote, PowerPoint, Outlook, with an advanced level skillset using Excel + Excellent verbal & written communication skills. + Previous experience with Client Relationship Management Systems (CRM's) with a preference of the Sales Force platform + Must be self-motivated and outgoing with a positive attitude and professional etiquette. + Strong analysis, critical thinking, and analytical problem-solving skills + Ability to handle multiple tasks and deadlines with high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration for market goals + Ability to work cross departments to maximize collaborative potential on market outcomes **Preferred Qualifications** + Group Benefits and systems knowledge + Bachelor's Degree. + Healthcare or insurance industry experience. **Additional Information- Remote position, may require in person events/meetings on rare occasions** **WAH Information** : To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-20-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $53.7k-72.6k yearly 7d ago
  • Sales Support Professional

    Humana 4.8company rating

    Little Rock, AR jobs

    **Become a part of our caring community and help us put health first** The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The _Sales Support Professional 1_ will provide sales support to the Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented with outstanding analytical abilities, this role will be great for you. Will be supporting the North Region and clients in EST/CST Timezones. **_Daily Job Function:_** + Provide support to the Sales team throughout the sales cycle. + Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client + Support sold groups in the implementation process, including, but not limited to: + Collect required materials for Account Installation. + Submit all sold paperwork to Implementation + Complete LMG system updates ( Launch my Group (LMG) + Attend Implementation call + Partner with and provide support to brokers as they navigate Humana. Answer general benefit questions and respond to brokers with marketing flyers. + Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service. + Creation and Distribution of scheduled market communication. + Agent bonus tracking and organization. + Maintain a strong connection with internal market team members, collaborate to achieve results and solutions. **Use your skills to make an impact** **Required Qualifications** + Previous Sales Enablement or Project Management experience + Great with computers including Microsoft Word, OneNote, PowerPoint, Outlook, with an advanced level skillset using Excel + Excellent verbal & written communication skills. + Previous experience with Client Relationship Management Systems (CRM's) with a preference of the Sales Force platform + Must be self-motivated and outgoing with a positive attitude and professional etiquette. + Strong analysis, critical thinking, and analytical problem-solving skills + Ability to handle multiple tasks and deadlines with high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration for market goals + Ability to work cross departments to maximize collaborative potential on market outcomes **Preferred Qualifications** + Group Benefits and systems knowledge + Bachelor's Degree. + Healthcare or insurance industry experience. **Additional Information- Remote position, may require in person events/meetings on rare occasions** **WAH Information** : To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-20-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $53.7k-72.6k yearly 7d ago
  • Account Manager, Generic/BioSimilar

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for creating and updating the generic/biosimilar pipeline report to identify cost-saving opportunities for purchasing generics/ biosimilars. Analyze data from AcariaHealth and Centene Pharmacy Services and collaborate with internal pharmacy teams to monitor preferred generics/biosimilars on Centene formularies. Serve as the primary point of contact for generic/biosimilar manufacturers, leading price negotiations and reviewing contracts. Track generic/biosimilar usage and conversions monthly, setting targets for the Therapeutic Interchange team. Perform pricing comparisons between direct and wholesaler costs and work with the AcariaHealth procurement team to ensure accurate drug file updates. Provide support for generic/biosimilar drug initiatives as needed. Developing and implementing plans for generic/biosimilar products, including market assessment, pricing, and competitive analysis Establishing and maintaining relationships with key stakeholders, such as pharmaceutical manufacturers, wholesalers and internal stakeholders Monitoring industry trends and competitor activities to identify opportunities and threats Leading projects, including defining scope, managing resources, and ensuring quality Developing and executing strategic account plans to maximize sales and profits Using data analysis to identify opportunities Negotiating contracts with pharmaceutical manufacturers to meet sales goals Reporting market intelligence and progress to stakeholders Have a working knowledge of biosimilar, specialty and generic pharmaceutical industry, contracting, distribution/wholesaler channels, pricing structures Penetrate assigned manufacturer targets to the highest levels to build relationships necessary to achieve desired objectives Work cohesively with Operations, Procurement and Management in order to achieve sales and margin objectives Represent and promote products and image in a professional, productive manner while adhering to compliance, aggregate spend, travel policies and guidelines Record account information and competitive intelligence through available resources Create reports/updates in Excel, Word, Power Point, SAP, and Microsoft Outlook Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree required; master's degree preferred 5 Years professional experience in Procurement or 2 years of specialty pharmacy industry experience Bachelor's Degree required Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 18d ago
  • Provider Engagement Account Manager

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidates must reside in Texas. This role will cover the following counties: Amarillo Service Delivery Area: Potter, Randall Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Serve as primary contact for providers and act as a liaison between the providers and the health plan Triages provider issues as needed for resolution to internal partners Receive and effectively respond to external provider related issues Investigate, resolve and communicate provider claim issues and changes Initiate data entry of provider-related demographic information changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider education, including writing and updating orientation materials Manages Network performance for assigned territory through a consultative/account management approach Evaluates provider performance and develops strategic plan to improve performance Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Completes special projects as assigned Ability to travel locally 4 days a week Performs other duties as assigned Complies with all policies and standards Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices. Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets. Education/Experience: Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 46d ago
  • Sales Consultant II - New Business Development (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** _CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VIRGINIA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS_ **PURPOSE:** This position is responsible for **new business development** within the **middle market customer** space. This role leads sales initiatives and strategies as well as relationship building with both our external partners and prospects as well internal constituents. The sales consultant position requires a level of knowledge and understanding for selling to fully and self-insured customers with complex benefit arrangements. **ESSENTIAL FUNCTIONS:** + Achieve sales goals and profitable growth for the organization. + Position and sell multiple lines of coverage, medical, stop loss, dental and vision. + Excellent written and presentation skills. + Strategize on proposals to ensure we are meeting the clients objectives and delivering our value proposition. + Be proactive, organized, responsive, detail oriented and track all sales data within the required platforms. + Develop long term relationships with both internal and external constituents. + Ability to strategize and organize a team of subject matter experts for finalist meetings. + Continuously meet with our consultant partners and keep them informed on new products, updates, and relevant information to their business. **SUPERVISORY RESPONSIBILITY:** Position does not have direct reports but does require working closely with internal constituents to develop strategies for selling and presenting to consultants and prospects. **QUALIFICATIONS:** **Education Level:** Bachelors degree in business, Insurance Industry, or related field OR in lieu of a bachelors degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications:** + Current health and life license for the jurisdictions of Maryland, DC, and Virginia Required. **Experience:** 5 years sales/healthcare in a similar sales position. **Preferred Qualifications:** + 5+ years experience in a similar sales position with a competitor or similar industry. **Knowledge, Skills, and Abilities (KSAs)** + Ability to recognize, analyze, and solve for prospects challenges. + Excellent communication skills both written and verbal. + Must be able to meet established deadlines for proposals and work closely with internal constituents. **Travel Requirements** **Estimate Amount:** 80% This position is expected to travel to see consultants and prospective clients within the DC metro area. **Salary Range:** $72,000 - $117,000 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** CMLG New Business MD **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21368
    $35k-60k yearly est. 60d+ ago
  • Sales Support Professional

    Humana 4.8company rating

    Phoenix, AZ jobs

    **Become a part of our caring community and help us put health first** The Sales Support Professional 1 provides timely and effective sales administrative support to assist with the acquisition or retention of customers. The _Sales Support Professional 1_ will provide sales support to the Sales Representatives in the Specialty Sales Regions. The objective will be to help execute on organizational directives related to technology, reporting, pipeline management, and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented with outstanding analytical abilities, this role will be great for you. Will be supporting the North Region and clients in EST/CST Timezones. **_Daily Job Function:_** + Provide support to the Sales team throughout the sales cycle. + Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client + Support sold groups in the implementation process, including, but not limited to: + Collect required materials for Account Installation. + Submit all sold paperwork to Implementation + Complete LMG system updates ( Launch my Group (LMG) + Attend Implementation call + Partner with and provide support to brokers as they navigate Humana. Answer general benefit questions and respond to brokers with marketing flyers. + Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service. + Creation and Distribution of scheduled market communication. + Agent bonus tracking and organization. + Maintain a strong connection with internal market team members, collaborate to achieve results and solutions. **Use your skills to make an impact** **Required Qualifications** + Previous Sales Enablement or Project Management experience + Great with computers including Microsoft Word, OneNote, PowerPoint, Outlook, with an advanced level skillset using Excel + Excellent verbal & written communication skills. + Previous experience with Client Relationship Management Systems (CRM's) with a preference of the Sales Force platform + Must be self-motivated and outgoing with a positive attitude and professional etiquette. + Strong analysis, critical thinking, and analytical problem-solving skills + Ability to handle multiple tasks and deadlines with high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration for market goals + Ability to work cross departments to maximize collaborative potential on market outcomes **Preferred Qualifications** + Group Benefits and systems knowledge + Bachelor's Degree. + Healthcare or insurance industry experience. **Additional Information- Remote position, may require in person events/meetings on rare occasions** **WAH Information** : To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-20-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $53.7k-72.6k yearly 7d ago
  • Account Manager II - Public Sector (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** _CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS._ _ACTIVE HEALTH AND LIFE LICENSE IS REQUIRED._ **PURPOSE:** This position is a critical resource within the Account Management Team providing consultative expertise on benefits, products, and capabilities. Responsible for promoting new and existing products or services through the development and delivery of tactical marketing and communication initiatives. The Account Manager is directly responsible for aggressively growing group enrollment by marketing to the client's associate base. Builds and maintains effective long-term relationships and a level of satisfaction with key senior-level decision makers and influencers assigned to a group of strategic clients. Creates demand for the organization's products and services by successfully managing the internal and external client implementation of additional products, services, administrative capabilities and/or the integration of third-party vendor solutions. You will be working with Public Sector accounts with various funding arrangements and plan sponsors within state, municipal and school boards ranging in girth from 100 to 100,000+ contracts. **ESSENTIAL FUNCTIONS:** + The Account Manager is directly responsible for aggressively growing group enrollment by marketing to the clients associate base. This role leads and conducts employer and employee educational and communication meetings independently with varying locations. Requires discretionary judgement to deliver superior client experience, traveling to in and out of state locations to meet client requirements and expectations. They are an integral partner of the account management team for new and renewed business, in sales strategy and benefit design modeling. Autonomously utilizes the benefit of expertise, business acumen and knowledge base as a tool set to resolve complex client requirements and issues. + Build and maintain a strong cultivated relationship with clients, acting independently as a trusted advisor. Takes the lead to developing strategy for renewal events which can include goal setting, timeframe analysis, implementation requirement outlines to ensure successful set up of new products and services. + The Account Manager works in consultation with internal and external resources to oversee resolution of escalated issues. They assess and determine the risk of an issue to identify impact to the company and client. They will then work collaboratively with the client, whether the issue is global or isolated, and determine ultimate resolution. + Facilitate and work independently in partnership with external clients leading benefit analysis and development of structured programs to engage members, including open enrollment strategy, wellness services deployment, implementation oversite acting in a consultative role to strengthen relationships and maximize value realization on behalf of client. + Disseminate understanding of legal developments and/or changes with regulations related to insurance carriers and Federal and State laws affecting clients, policies, and procedures to ensure compliant administration of benefit programs. **QUALIFICATIONS:** **Education Level** : Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 3 years' experience in sales, sales support, implementation, benefit administration or Account Management. **Licenses/Certifications Required Upon Hire** : Current health and life license for the jurisdictions of Maryland, DC, and Virginia. **Knowledge, Skills and Abilities (KSAs):** + Superior communication skills and knowledge of employee benefits issues necessary to effectively communicate with clients, insurance carriers and prospects concerning employee benefit lines of coverage. + Ability to solve problems, strong organizational skills, detail oriented, responsive and self-motivated, works independently as well as part of a team. + Proficiency with Microsoft Word and Excel is required, basic working knowledge of PowerPoint preferred. + Knowledge of insurance information, technology and new legislation + Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. + Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Travel Requirements:** Regional travel is required to meet customer's needs throughout the year. During Q4, up to 70% of work will require travel. **Estimate Amount:** 20% Both local and nationwide travel is required to meet customer's needs throughout the year. During Q4, up to 70% of work will require travel. **Salary Range:** $52,000 - $84,500 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Municipal Accounts **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21713
    $52k-84.5k yearly 4d ago
  • Account Manager II (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** **_CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS._** **_CURRENT HEALTH AND LIFE LICENSE IS REQUIRED._** **PURPOSE:** As a key member of our Account Management Team, the Account Manager II plays a pivotal role in driving client success and business growth. This position combines strategic consulting, relationship management, and marketing expertise to deliver exceptional value to our clients. Youll serve as a trusted advisor, promoting our suite of benefits and services, and leading initiatives that enhance client satisfaction, increase enrollment, and strengthen long-term partnerships. **ESSENTIAL FUNCTIONS:** + Drive Growth & Engagement:Lead the charge in growing group enrollment by marketing directly to client associates. Plan and execute impactful communication and education strategies that resonate with diverse employee populations. + Be a Trusted Advisor:Build and maintain strong, consultative relationships with senior-level decision-makers. Provide expert guidance on benefit design, renewal strategies, and implementation planning. + Lead Client-Facing Initiatives:Independently conduct on-site and virtual meetings with employers and employees across multiple locations. Travel in and out of the state to deliver high-touch service and ensure client satisfaction. + Solve Complex Challenges: Use your benefit expertise and business acumen to resolve escalated issues, assess risk, and collaborate with internal and external stakeholders to deliver timely, effective solutions. + Deliver Strategic Value: Partner with clients to develop and implement structured benefit programs, including open enrollment campaigns, wellness initiatives, and third-party integrations. + Ensure Compliance & Insight:Stay ahead of regulatory changes and industry trends. Educate clients on legal developments and ensure benefit programs remain compliant with federal and state laws. **QUALIFICATIONS:** **Education Level** : Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 3 years experience in sales, sales support, implementation, benefit administration or Account Management. **Knowledge, Skills and Abilities (KSAs)** + Exceptional communication and presentation skills. + Strong problem-solving and organizational abilities. + Proficiency in Microsoft Word and Excel; PowerPoint a plus. + Deep understanding of employee benefits and insurance regulations. + Ability to manage multiple priorities and deliver outstanding service under pressure **Licenses/Certifications** : Current health and life license for the jurisdictions of Maryland, DC, and Virginia Upon Hire Required. **Travel Requirements:** + Approximately 10% travel year-round (local and national) + Up to 40% travel during Q4 to support peak enrollment season Salary Range: $52,000 - $84,500 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** VP - Commercial Markets Sales **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship. \#LI-KL1 REQNUMBER: 21535
    $52k-84.5k yearly 57d ago
  • Account Manager II - CFA (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** **CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS.** **ACTIVE HEALTH AND LIFE LICENSE IS REQUIRED.** **PURPOSE:** This position is a critical resource within the Account Management Team providing consultative expertise on benefits, products, and capabilities. Responsible for promoting new and existing products or services through the development and delivery of tactical marketing and communication initiatives. The Account Manager is directly responsible for aggressively growing group enrollment by marketing to the client's associate base. Builds and maintains effective long-term relationships and a level of satisfaction with key senior-level decision makers and influencers assigned to a group of strategic clients. Creates demand for the organization's products and services by successfully managing the internal and external client implementation of additional products, services, administrative capabilities and/or the integration of third-party vendor solutions. **ESSENTIAL FUNCTIONS:** + The Account Manager is directly responsible for aggressively growing group enrollment by marketing to the clients associate base. This role leads and conducts employer and employee educational and communication meetings independently with varying locations. Requires discretionary judgement to deliver superior client experience, traveling to in and out of state locations to meet client requirements and expectations. They are an integral partner of the account management team for new and renewed business, in sales strategy and benefit design modeling. Autonomously utilizes the benefit of expertise, business acumen and knowledge base as a tool set to resolve complex client requirements and issues. + Build and maintain a strong cultivated relationship with clients, acting independently as a trusted advisor. Takes the lead to developing strategy for renewal events which can include goal setting, timeframe analysis, implementation requirement outlines to ensure successful set up of new products and services. + The Account Manager works in consultation with internal and external resources to oversee resolution of escalated issues. They assess and determine the risk of an issue to identify impact to the company and client. They will then work collaboratively with the client, whether the issue is global or isolated, and determine ultimate resolution. + Facilitate and work independently in partnership with external clients leading benefit analysis and development of structured programs to engage members, including open enrollment strategy, wellness services deployment, implementation oversite acting in a consultative role to strengthen relationships and maximize value realization on behalf of client. + Disseminate understanding of legal developments and/or changes with regulations related to insurance carriers and Federal and State laws affecting clients, policies, and procedures to ensure compliant administration of benefit programs. **QUALIFICATIONS:** **Education Level** : Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 3 years experience in sales, sales support, implementation, benefit administration or Account Management. **Licenses/Certifications Required Upon Hire** : Current health and life license for the jurisdictions of Maryland, DC, and Virginia. **Knowledge, Skills and Abilities (KSAs)** + Superior communication skills and knowledge of employee benefits issues necessary to effectively communicate with clients, insurance carriers and prospects concerning employee benefit lines of coverage. + Ability to solve problems, strong organizational skills, detail oriented, responsive and self-motivated, works independently as well as part of a team. + Proficiency with Microsoft Word and Excel is required, basic working knowledge of PowerPoint preferred. + Knowledge of insurance information, technology and new legislation. + Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. + Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Travel Requirements:** 20% both local and nationwide travel is required to meet customer's needs throughout the year. During Q4, up to 70% of work will require travel. Salary Range: $52,000 - $84,500 (Base Salary Range is based on education, experience & internal equity + Sales Incentive) **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Renewal 51-99 **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship. \#LI-KL1 REQNUMBER: 21519
    $52k-84.5k yearly 59d ago
  • Inside Sales Representative II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Prospect and establish new account relationships with physicians' office, nursing agencies, hospitals, community based organizations and various clients over the telephone. Perform outreach to potential clients regarding business unit services and programs, such as referral processing, patient adherence management, and proactive communication regarding patient referrals. Distribute sales leads to Physician Sales, log and follow-up on distributed leads. Identify and develop marketing strategy for key accounts. Monitor all referrals as they traverse through operational stages through final delivery to the patient. Develop and maintain relationships with clients ensuring alignment with marketing strategies. Prepare and complete proper administrative records and sales reports, Analyze prescriber data to target potential accounts. Determine customer needs and communicate needs to operations while managing the operational relationships to fully service the client. Attend routine patient care conferences and professional in-services to ensure continuance of new products and strategies. Education/Experience: High school diploma or equivalent. 4+ years of medical sales or telemarketing experience. Strong prospecting and cold calling experience.Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $19.4-33 hourly Auto-Apply 8d ago
  • Small Group Sales Consultant I (Remote)

    Carefirst 4.8company rating

    Baltimore, MD jobs

    **Resp & Qualifications** **PURPOSE:** The Small Group Existing Business Sales Consultant serves as the primary strategist and revenue leader for a defined territory of small group brokers, and their associated employers. Unlike traditional account service roles, this position will not manage day-to-day broker service issues those are handled by the Broker Service Team. Instead, the consultant is responsible for retention strategy, renewal positioning, revenue optimization, and broker ecosystem engagement. This role mirrors the strategic expectations of our manager-level sales leadership: driving clarity, elevating performance, and ensuring our market voice is consistent, compelling, and effective. The consultant functions as the internal authority on the assigned relationships the person the broader organization turns to for insights on portfolio health, competitive threats, renewal decisions, and growth strategy. **ESSENTIAL FUNCTIONS:** **Relationship Ecosystem Management** + Organize brokers and employer groups into relationship ecosystems, identifying influence networks, key producing clusters, and regional patterns. + Lead relationship engagement across these ecosystems, ensuring brokers receive consistent, strategic messaging and renewal support, not just performing service work. + Act as the strategic face of CareFirst to broker partners, elevating our value proposition and shaping how we show up in the market. + Partner closely with the Broker Service Team, who owns service delivery and issue resolution, ensuring a seamless and coordinated experience. + Facilitate escalations appropriately through service teams while maintaining focus on higher-order strategy, messaging, and relationship management. **Renewal Excellence & Competitive Positioning** + Lead renewal strategy conversations with brokers and internal teams; articulate competitive positioning, product differences, and value drivers. + Prepare and deliver compelling renewal presentations, tailored narratives, and portfolio-level insights for brokers and employer decision-makers. + Partner with underwriting, product, operations, sales leadership, and market strategy to ensure renewals are timely, accurate, and aligned with enterprise goals. + Strengthen consistency and quality of renewal execution by identifying process gaps, improving handoffs, and proposing enhancements to cross-functional workflows. **Internal Influence, Communication & Thought Leadership** + Serve as the internal subject matter expert on the assigned relationships, serving as trusted partner to brokers for insights, risks, or needed actions. + Communicate market feedback, broker sentiment, competitor behavior, and emerging threats to sales leadership and cross-functional partners. + Support the creation of strategic sales messaging, broker communications, market-level talking points, and competitive counter-strategies. + Participate in staff meetings, pipeline reviews, strategic planning sessions, and quarterly business reviews to represent the voice of the existing book. + Contribute to a high-performance, accountable culture by modeling preparation, clarity, rigor, and professional presence. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Business, Finance or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Current health and life license for the jurisdictions of Maryland, DC, and Virginia. **Experience:** 3 years sales/healthcare experience in a similar sales position. **Preferred Qualifications:** + Experience in a similar sales position with a competitor or another Blue Cross Blue Shield plan is preferred. **Knowledge, Skills and Abilities (KSAs)** + Knowledge and understanding of CRM, Salesforce, and other client management tools. + Strong customer service orientation. + Ability to recognize, analyze, and solve a variety of problems. + Excellent communication skills both written and verbal. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $60,800 - $98,800 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** SM SBU New Business **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21583
    $60.8k-98.8k yearly 53d ago

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