Large Group Coordinator
Cambia Health SolutionsAbout the role
Large Group Coordinator
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Large Group Coordinators are living our mission to make health care easier and lives better. As a member of the Sales Support & Operations team, our Large Group Coordinators are responsible for the internal preparation of paperwork and onboarding of RFP quotes, new and renewing 101+ employer groups. Additionally, they are responsible for analysis of benefit details including variations; deviations; and customization requests, as well as primary administrative and technical support to the sales & service team and downstream departments for onboarding activities.
Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Large Group Coordinator would have a Bachelor’s degree in Business or related field and 1-2 years of progressive experience in healthcare, such as sales and marketing, sales support, customer service, claims, membership or equivalent combination of education and experience.
Skills and Attributes:
Demonstrated ability to use MS Office products and other corporate software. Demonstrates comprehensive knowledge of Underwriting and Marketing guidelines.
Comprehensive knowledge of health insurance and products available, new industry developments (i.e. Healthcare Reform), sales processes, terminology and operational flow.
Strong verbal, written and interpersonal communication and customer service skills.
Demonstrates effective working relationships with cross–functional departments within a team environment (i.e. Group Services, Underwriting, Product Build, Claims, Membership, ASO Unit, etc.).
Demonstrated knowledge in the Configurator Tool process including in-depth knowledge of large group benefit plans, and a strong working knowledge of benefit documents.
Demonstrated experience in recognizing problems and effectively resolving complex issues.
Ability to organize and prioritize to meet established deadlines.
Ability to work under pressure and handle multiple projects and/or group activities simultaneously.
What You Will Do at Cambia:
Manage all internal operations for new and renewing 101+ fully insured and ASO accounts, serving as liaison between Sales/Account Executives and internal departments to support overall sales goals.
Reviews benefits documentation and prepares professional quote portfolios, ensuring accuracy of legislative mandates and benefit changes in coordination with Underwriting and other teams.
Leads implementation and onboarding processes, coordinating conference calls, managing timelines, and ensuring accurate processing of all documentation for timely group activation.
Ensures accurate system configuration of group benefits, claims processing, and membership eligibility according to intended plan design through proper documentation (GMA, GAF, contracts, etc.).
Prepares and coordinates group enrollment eligibility files, including formatting carrier files for Facets autoload with all required fields and coordinating processing with relevant departments.
Creates customized member welcome materials and coordinates printing/delivery of benefit plan documents including SBCs, SPDs, and contract amendments.
Tracks new and renewal groups from start to finish, working directly with other departments to resolve setup questions and issues while monitoring all sales processes.
Identifies and approves group customization needs such as custom ID cards, EOBs, and network configurations in collaboration with Customization Specialists.
Addresses technical issues related to systems, processes, and procedures while communicating solutions to the sales team.
Provides administrative support for client health and benefit fairs and answers day-to-day operational questions regarding quoting, customization, ACA requirements, membership, billing, and eligibility.
The expected hiring range for a Large Group Coordinator
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