Humera - Administrative and Professional Staffing

Broker LifeCycle Specialist

7 days left

Location
Minnetonka, MN, United States
Salary
Contact For Rate
Posted
Jul 12, 2018
Closes
Jul 23, 2018
Job Type
Employee
Employment Status
Full Time
Humera has a position available for a Broker LifeCycle Specialist with our client in Minnetonka, a major health care provider. The Broker Lifecycle Specialist provides the hands on leadership and direction for creating a modern and seamless Broker lifecycle process. This is a long-term contract-to-hire position!Duties

Contracting, Credentialing and Commissions - 40%
  • This position is responsible for the overall administration of the Broker Lifecycle process including initial set-up, ongoing management, changes, investigation and resolution of issues.
  • Ensures brokers are credentialed and appointed according to the client's policy
  • Initiates and processes all broker, agency and FMA contracting, re-contracting and credentialing activities in compliance with the requirements of the client and relevant state laws. Ensures that the process is completed within service agreement timeframes
  • Provides Agent of Record (AOR) assignments
  • Ensures that broker credentialing information is distributed to and processed by applicable vendors in a timely manner
  • Ensures active licenses and E&O are in compliance with the client?s requirements and are up-to-date, appropriate and accurate for each state
  • Identifies areas for process improvement and system capabilities needed to support a growing distribution organization.
  • Researches & makes recommendations to management on software and automation tools that will streamline the contracting and credentialing process
  • Provides consultation as required and applicable to brokers regarding compensation (commissions)
  • Initiates, processes and monitors non-standard commissions documentation
  • Ensures accurate commission payments for new and renewing business
  • Reviews and submits required documentation to UHG for processing
  • Researches and responds to escalated issues in a timely manner and communicates resolutions appropriately

Broker LifeCycle process development, administration , oversight and audit - 40%
  • Collaborates with Sales, Marketing, Operations and Finance to complete the contracting process and initiates broker's contractual relationship with Medica & the rapid transition to active production.
  • Develops and drives the administration steps of the Broker Life Cycle relationship
  • Ensures distribution hierarchies are accurately established and consistently maintained
  • Conducts monthly audits and analyses of UHG reports on a timely basis to ensure the client's expectations are met
  • Develops, implements and maintains appropriate policies and procedures
  • Helps to define future state for Broker LifeCycle needs and development requirements as related to contracts, credentialing and hierarchy
  • Assesses, develops, implements and manages a eamless broker lifecycle process that will include the modernization of automated systems for contracting, credentialing and hierarchy management

Direction of distribution system processes - 20%
  • Provides direction for current and future development of distribution system processes
  • Acts as a resource for other areas of the company
  • Contributes to broker communications and to the content of the broker website

Requirements

MINIMUM QUALIFICATIONS/REQUIREMENTS:
  • Bachelor's degree
  • 5 years of experience in the field

SPECIFIC EXPERIENCE REQUIRED
  • Knowledge and experience in contract development, writing and administration
  • Knowledge and experience in credentialing (license, E&O, etc.)
  • Minimum of 1 years of data entry experience
  • Proficiency in MS Access, MS Excel and MS Word
  • Working knowledge of financial accounting
  • Working knowledge of sales organization hierarchy
  • Experience and thorough understanding of today's modern technology in context with broker contracts, addendums, credentialing process and insurance company hierarchy management
  • A high degree of skill in distributor interaction to assure the broker engagement and development lifecycle is a success
  • Fully knowledgeable in all aspects of all business line administrative policies, processes and compliance requirements
  • Has an understanding of the commission process and where breakdowns may create commission issues and/or payment errors
  • Fully knowledgeable in all aspects of policy and process to identify and correct breakdowns or errors in contracting, credentialing, hierarchy
  • Ability to respond to the immediate needs of Medica distribution partners, Sales, other business units and Medica overall
  • Experience with current technology deployed for managing distribution, hierarchy systems and broker contacting

SKILLS REQUIRED
  • Strong verbal and written communication skills
  • Ability to manage multiple projects, tasks and timelines
  • Advanced organizational ability, creativity and problem-solving skills
  • Self-directed and able to function with little direct supervision
  • Ability to handle difficult and highly sensitive communications
  • Adept at investigation, research and problem-solving related to hierarchy set-up and maintenance

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