Health Plans Inc

Role Description Reporting to the Vice President of Financial Reporting, the Payment Processing Specialist is responsible for the facilitation of the payment process across Health Plans, Inc.’s client base. - Coordinate claim, broker and vendor payment processing as it relates to the clients’ plan expenses. - Coordinate invoicing processes as it relates to client and member billing. - Compile and audit various daily reports pertaining to the payment process. - Research and resolve remittance questions and situations. - Communicate with claim examiners, account managers, and various other departments according to internal and client needs. - Communicate with outside vendors to ensure the issuance and integrity of checks and EOBs created during the check run process. - Facilitate cross-departmental projects pertaining to billing, funding and enrollment that impact the validity of payments issued by the department. Qualifications - High School Diploma or equivalent - One to three years’ experience in accounts payable, invoicing, or general accounting - Proficient in Microsoft Office, including Word, Excel, Outlook, and PowerPoint Benefits - Medical, Dental and Vision and Prescription Drug Coverage - Fitness Reimbursement Benefit - Employee Assistance Program - Flexible Spending Account & Health Savings Account - 401(k) and Quarterly Bonuses - Generous Paid-Time Off & Volunteering Opportunities - Educational Assistance & Professional Development Opportunities

Role Description The Senior Account Executive (SAE) plays a strategic leadership role in managing the implementation of new client plans and overseeing the ongoing service and renewal processes for existing clients. This role requires close collaboration with internal teams to resolve complex service issues, guide plan design, and ensure seamless operations. - Provide strategic oversight and consultation to key broker partners, guiding plan development and evolution to align with business objectives. - Mentor and support junior account executives, fostering professional development. - Drive high-level client relationship management and retention strategies. - Collaborate with cross-functional teams to deliver integrated solutions. - Oversee the implementation of new groups and manage service delivery for existing clients and brokers. - Conduct benefit meetings, produce educational materials, and resolve complex claims/service issues. - Communicate plan design and renewal changes to internal teams to ensure smooth execution. - Develop and present customized employee/employer materials and performance reports. - Advise clients and brokers on compliance and reporting requirements related to benefit plans and federal mandates. Qualifications - Bachelor’s Degree or equivalent work experience. Requirements - 5–7 years of experience in client services or account management, preferably in the healthcare or benefits administration industry. - Proven ability to manage high-value client accounts and lead strategic initiatives. - Strong leadership and mentoring capabilities. - Excellent communication skills, both verbal and written. - Highly organized with the ability to manage multiple priorities and deadlines. - Analytical mindset with attention to detail and systems thinking. - Demonstrated ability to work independently and collaboratively across teams. - Commitment to confidentiality and professional integrity. - Proficient in Microsoft Office, including Word, Excel, Outlook, and PowerPoint. Benefits - Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position. Working Environment/Physical Demands The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job. - The noise level in the work environment is moderate. - The employee may occasionally lift and/or move up to 20 pounds. - Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. - While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. - The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. - The employee is occasionally required to stand. Disclaimer The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of employees assigned to this position. Health Plans Inc. is an EEO – M/F/D/V employer.