Role Description In addition to the responsibilities listed above, this position is also responsible for: - Attending employer, community, and open enrollment events on an on-call basis to educate members and prospects on KP products. - Delivering formal presentations to employees and prospective members. - Independently monitoring and reporting on enrollment performance data and discrepancies. - Serving as an informational resource for sales and account management teams on KP health plans and benefit offerings. - Utilizing comprehensive foundational knowledge of KP health plans and benefit offerings to facilitate formal presentations to prospective members. - Resolving customers' standard and non-standard questions and concerns about benefits and services. Qualifications - Bachelors degree in Marketing, Finance, Business Administration, or related degree AND two (2) years of experience in marketing, business development, managing business-to-business relationships, or directly related field OR minimum five (5) years of experience in marketing, business development, managing business-to-business relationships, or a directly related field. - Bilingual (English/Spanish) Level I required. Requirements - Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. - Listens to, seeks, and addresses performance feedback; provides mentoring to team members. - Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses. - Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. - Supports and responds to the needs of others to support a business outcome. - Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions. - Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate. - Supports, identifies, and monitors priorities, deadlines, and expectations. - Identifies, speaks up, and implements ways to address improvement opportunities for team. - Contributes to a positive customer experience by implementing standard and non-standard protocols to build new and leverage existing relationships with brokers, channels, and customers. - Gathers data on standard and non-standard customer needs, and identifies solutions linking KP mission, vision and values. - Utilizes comprehensive foundational knowledge of product, service, and ratings to respond to, encourage, and educate customers. - Identifies and escalates service failure trends or process improvement opportunities to team and managers. - Facilitates the enrollment and implementation process by conducting local and regional enrollment meetings. - Applies standard and non-standard protocols to serve as an advocate for customer needs during the membership enrollment and implementation process. - Supports efforts across teams in the overall implementation or renewal process of health plan membership. - Contributes to the development of sales strategy by designing plans for new products, benefits offerings, or pricing models. - Utilizes comprehensive foundational knowledge of health care market to analyze industry trends and competitor products. - Executes an account plan to meet standard and non-standard business objectives for membership, revenue, and margin. - Collects and analyzes performance data to inform account strategy and identify potential issues. - Utilizes marketing and technical resources to achieve account plan objectives. - Collaborates with the team to find new opportunities to grow customer base to new or growing markets. - Maintains the prospect database and targeted prospect profiles to inform strategic planning. - Collaborates within the team to contribute to product and plan design, quote, and Request for Proposal (RFP). - Provides standard and non-standard recommendations to the team to inform forecasting and pricing. - Implements standard and non-standard protocols to increase cross-sell and up-sell opportunities. Company Description

• Manage Enterprise implementation projects • Oversee the full onboarding lifecycle for multiple Enterprise accounts simultaneously, from kick-off to final handoff. • Proactively mitigate risks and anticipate impediments, ensuring deadlines, scope, and critical milestones are met. • Build and scale the team's playbook by standardizing templates, timelines, and monitoring rituals for the Enterprise segment. • Provide visibility into project status for internal leadership and client stakeholders through reports and dashboards. • Conduct in-depth diagnostics at kick-off to understand the client's HR/business context and design customized onboarding plans. • Serve as the technical and business liaison, translating client needs into platform configuration requirements and aligning with internal teams (Product, Support, Data). • Map and manage complex, multi-layered stakeholders (from operational HR to C-level executives). • Plan and deliver tailored training for different user profiles (administrators, managers, and employees). • Monitor adoption and engagement metrics throughout the journey, acting proactively on accounts showing risk indicators. • Ensure a smooth transition to the Customer Success team by maintaining detailed records and alignment from the start of the project. • Amplify operations through AI by using artificial intelligence tools in daily work to optimize communications, summarize rituals, create materials, and scale support capacity. • Feed the continuous improvement cycle by turning project learnings into product, process, and playbook enhancements.

Role Description The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in a timely and accurate manner. This includes: - Claims processing - Cash collection - Claims resolution - Resolving credit balances - EOM balancing - Monthly statements Responsible for pre-claim review to assure billing compliance as required by the company. Is accountable for complying with all policies, procedures, and regulations related to billing all Medicare, Medicaid, and other Third Party Payors. It is expected that all duties and responsibilities will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion, Advocate, Respect, Excellence) and the core values of Mercy Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life, and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision-making, and priority setting. They are also expected to develop, implement, and monitor short and long-range plans to meet or surpass standards consistent with the overall strategic plan. Qualifications - High School Diploma or GED - Preferred: 2 Year/Associate Degree in Accounting, Finance, or related field - Combination of post-secondary education and experience will be considered in lieu of degree Requirements - High School Diploma - One year experience in medical collections or professional billing required - Basic computer knowledge and ability to use standard office equipment - Basic MS Office software skills - Problem-solving skills related to account resolution - Ability to adapt to changing procedures and growing environment - Preferred: 1-3 years of relevant experience in medical collections or professional billing - Knowledge of claims review and analysis Benefits - Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible) - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders - Tuition assistance, professional development, and continuing education support - Benefits may vary based on the market and employment status

Role Description The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in a timely and accurate manner. This includes: - Claims processing - Cash collection - Claims resolution - Resolving credit balances - EOM balancing - Monthly statements Responsible for pre-claim review to assure billing compliance as required by the company. Is accountable for complying with all policies, procedures, and regulations related to billing all Medicare, Medicaid, and other Third Party Payors. It is expected that all duties and responsibilities will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion, Advocate, Respect, Excellence) and reflect the core values of Mercy Health: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life, and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision making, and priority setting. They are also expected to develop, implement, and monitor short and long-range plans to meet or surpass standards consistent with the overall strategic plan. Qualifications - High School Diploma or GED - Preferred: 2 Year/Associate Degree in Accounting, Finance, or related field - Combination of post-secondary education and experience will be considered in lieu of degree Requirements - High School Diploma - One year experience in medical collections or professional billing required - Must demonstrate basic computer knowledge - Ability to use standard office equipment and basic MS Office software - Problem-solving skills related to account resolution - Adapt to changing procedures and growing environment - Preferred: 1-3 years of relevant experience in medical collections or professional billing - Knowledge of claims review and analysis Benefits - Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible) - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders - Tuition assistance, professional development, and continuing education support - Benefits may vary based on the market and employment status