ASO Account Executive

SUMMARY

The ASO Account Executive is responsible for growth and retention for ASO membership with accountability for lead development and sales of new business either through direct or broker channels. The ASO Account Executive will develop/present and explain company products and services, as well as assist the broker/consultant with presentations made to prospective groups/individuals - ensuring the products are accurately presented. She or he will also be cognizant of competitor products and strategies, staying abreast of changes and trends in the insurance industry. Furthermore, the ASO Account Executive will have a thorough knowledge of financing arrangements and benefit structures including and not limited to PPO, HMO, ACO, Stoploss, and HDHPs for self-insured and fully insured groups.

ESSENTIAL DUTIES AND RESPONSIBILITIES may include the following. Other duties may be assigned:

• Develop and maintain strong essential internal working relationships within the Territory Team, Marketing leadership, with other internal leaders, and various departments within TX Health Benefits Pool (TXHBP).
• Present a positive image of TX Health Benefits Pool in the marketplace.
• Manages and Mentors ASO Account Manager to maximize sales revenue and meet/exceed TX HB projected goals through Leads and Opportunity management.
• Leads and Manages the sales process for New ASO Opportunities in partnership with the Pool Sales Executives. 
• Provides competitive analysis and market vulnerabilities.
• Support education on TX Health Benefits Pool strategy to broker partners as well as new brokers.
• Attend regional and council meetings, bid openings.
• Develops strategic relationships with broker/consultants, potential groups, and regional stakeholders in the market to increased broker engagement with TX HB.
• Plans and manages ASO ’s marketing and sales policies, objectives and initiatives.
• Oversee the onboarding process to assure accurate and timely implementation.
• Manage day to day operations with staff, conduct performance reviews for the ASO Account Manager, and other duties as assigned by Director/Associate Director.  
• Resolve escalated customer care issues within 14 business days of receipt.
• Ensure that all new Group paperwork comes in complete.

• Develop and manage the ASO Account service team to provide full employer-level service.
• Work with the Benefit Coordinator Advocate on communicating timelines and workflow for TX HB Benefits Online.

• Performs strategic quarterly, semi-annual, and pre-renewal reviews.
• Communicates with groups regarding outstanding rerate, enrollment documents per established timelines.
• Proactive education and dialogue with Benefit Coordinators to ensure appropriate and timely decisions.
• Interface with groups during Audit/Regulatory Reporting to meet completion timelines.
• Communicates with New Groups regarding outstanding Business Acceptance Form, enrollment, and eligibility documents per established timelines.
• Educate Benefit Coordinators so they can make timely and appropriate decisions.
• Promotes webinar education and regional meetings to encourage attendance.
• Maintains daily and accurate Salesforce documentation.
• Identifies marketing vulnerabilities and stakeholders for each group.
• Communicates benefits and processing procedures accurately while providing hands-on training and education to Benefit Coordinators and membership to promote benefit understanding.
• Conducts open enrollment meetings to provide member education, enrollment, benefit updates.
• Coordinates with internal TX HB teams as appropriate

• Establishes and maintains high level of trust and confidence with groups, their employees and families and respected brokers / consultants.
• Assists with the integration of wellness programs and other communication, as needed.
• Completes internal applicable forms for member database profile changes for groups as updates are needed for administration and plan designed.

• Protects the confidentiality, integrity and availability of information and records that TX HB creates, receives, maintains, or transmits by complying with TX HB policies and procedures, including policies and procedures on physical, administrative, and technical safeguards.
  1. Physical safeguards are physical measures, policies and procedures that protect TX HB buildings, equipment, and information systems from natural and environmental hazards and from unauthorized intrusion.
  2. Administrative safeguards are administrative actions, policies, and procedures that: (1) manage TX HB’s selection, development, implementation, and maintenance of measures that protect TX HB’s information and records; and (2) manage the conduct of TX HB employees in protecting the privacy and security of TX HB’s information and records.
     1. Technical safeguards are the technology and policies and procedures for its use that protect electronic information and records and that control access to electronic information and records.

KNOWLEDGE/SKILLS/ABILITIES

• Proven success in penetrating new markets, closing new ASO business and renewing current ASO groups.
• Ability to develop strategic competitive market analysis.
• Ability to analyze and evaluate healthcare reporting.
• Consistent over-achievement in prior roles and positions
• Proven prospecting and sales cycle management skills
• Exceptional communication and presentation skills and/or public speaking experience
• Ability to facilitate collaborative teamwork, with supportive leadership and mentoring skills.
• Detailed oriented with a focus on exceptional; Customer Service 

• Ability to compile, analyze and evaluate complex information to facilitate decision making.
• Strong organization skills, ability to manage multiple priorities and strong follow through.
• Superior customer service skills and attention to detail
• Ability to meet all sales/service requirements at corresponding range criteria percentile.
• Must be able to work with all levels of employees and their dependents.
• Full proficiency in the use of Salesforce, Microsoft Word, Excel, and PowerPoint.
• Technical ability to utilize employer web portal for claim/provider look-up and documentation and look-up.
• Working knowledge of current underwriting procedures for financing arrangements and benefit structures including and not limited to PPO, HMO, ACO, Stoploss, and HDHPs for self-insured and fully insured groups.

•EDUCATION/EXPERIENCE

Required 

• Texas General Lines—life, accident, health, and HMO Insurance License
• 3-5 years’ successful experience in sales, account management, or benefit plan management for self-insured health benefits and/or insurance products
• Extensive experience working with medical stoploss, knowledge of stoploss products and familiarity with stoploss underwriting process.
• Knowledge of and work experience with self-insured group managed health care plans
• Ability to travel frequently, including overnight stays within Texas as necessary, to meet face-to-face with groups as permitted by group’s COVID guidelines.
• A strong working knowledge of the changing vendor landscape including new entrants into the marketplace and cutting-edge products and solutions.
• Strong working knowledge of federal and state legislation and legal issues related to the healthcare/benefits/ insurance industry.
• Strong Working knowledge of Texas and Federal Legislation, including and not limited to the Patient Protection Affordable Care Act and COBRA

Preferred

• Experience selling group health benefits administration, stoploss and/or insurance products.
• Bachelor’s degree; 5-years of equivalent healthcare/benefits/insurance environment experience, or combination thereof for self-insured and fully insured groups.
• PC proficiency to include Outlook Office, Word, Excel, PowerPoint, and Salesforce.
• Experience in strategy development

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to speak/hear clearly to communicate by phone or in person.
• Ability to frequently stand, sit and walk.
• Ability to frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
• Ability to travel on a regular basis.
• Valid Texas driver’s license

Flexible Work Arrangements

☒  100% Remote - onsite as required (MON- FRI)