Program administrator Jobs in Cincinnati, OH

Medical Mutual employees must submit their applications through MySource.

Note: This is a hybrid role requiring 3 days per week on-site in our Westchester, Ohio office. Seeking applicants that reside within a 50-mile radius of the Westchester, Ohio office.

Join a great team! We're seeking a detail-oriented healthcare professional with strong health insurance knowledge to manage accounts and resolve challenges as our next Account Administrator.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

The Account Administrator provides critical analytical support to the assigned Account Management Team in a fast-paced environment. Serves as the conduit to funnel important information through the company from a client, broker or a consultant perspective related to elevated, previously unresolved, complex situations, as well as general questions and inquiries. Initiates projects, monitors progress, and brings to completion.

Responsibilities:

Account Administrator I - MHS

• Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; Summary Plan Description review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Understands the functions of all areas of the company and builds internal and external networks to navigate problem resolutions. Operates using a multitude of systems and link applications required to successfully perform required job duties. Initiates changes, tracks, and monitors progress of the changes, audits the outcomes of the changes implemented.
• Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues.
• Supports with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database.
• Attends client meetings as directed by team management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner.
• Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings, and webinars.
• Performs other duties as assigned.

Account Administrator II - MHS

• Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; Summary Plan Description review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Builds internal and external networks to navigate problem resolution for clients and brokers. Initiates changes, tracks, and monitors progress of the changes, audits the outcomes of the changes implemented. Spots trends and educates Team about these developments. Assesses data and provides recommendations based on the analysis. Leads Squad Talks Calls.
• Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues Stands in for the Account Executive as needed in the field to present basic information in a concise manner. Makes sound recommendations to resolve problems and implements process/procedure updates to avoid repeating.
• Assists with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database. Makes recommendations to the Team about these processes to streamline outreach.
• Attends client meetings as directed by management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner. Conducts training and deploys new processes and procedures along with talking points and other training information take-aways. Navigates pricing discussions with internal and external stakeholders. Conducts departmental/Team training.
• Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings, and webinars.
• Performs other duties as assigned.

Qualifications:

Account Administrator I - MHS

Education and Experience:

• Associates Degree in Business Administration, Communications or a related field, or equivalent combination of education/training (minimum high school diploma or GED) and experience.
• 3 years support experience in a financial service, health insurance, customer service or related environment. #LI-JT1

Technical Skills and Knowledge:

• Knowledge of health insurance products and sales and service operations (underwriting, stop loss, benefit plan design, funding).
• Intermediate Microsoft Office skills (Excel, Word and Power Point). #LI-JT1

Account Administrator II - MHS

Education and Experience:

• Bachelors' Degree in Business Administration or related field preferred, but will consider collective experience, training and education.
• 4 years support experience in a financial service, health insurance, customer service or related environment.

Technical Skills and Knowledge:

• Knowledge of health insurance products and sales and service operations (underwriting, stop loss, benefit plan design, funding).
• Intermediate Microsoft Office skills (Excel, Word and Power Point).
• Possesses a solid knowledge base of Underwriting rating principals, funding arrangements and renewal developments.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. #Hybrid #LI-JT1