Aimed at mid-level to senior benefits professionals with administrative and financial acumen who can manage cross-functional collaboration and regulatory compliance in the health insurance domain.
Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Conner Strong & Buckelew via Greenhouse
Job Summary: The HIF Account Manager supports the Executive Director in the administration of eight Health Insurance Funds and one County Insurance Commission Health program. This role manages key operational, financial, and strategic activities, including underwriting, budgeting, rate development, vendor and committee coordination, regulatory support, and broker service. The Account Manager also serves as a central resource to internal teams, Fund leadership, and external partners, helping ensure the Funds operate effectively, compliantly, and with long-term stability.
Principal Responsibilities
Fund Administration and Leadership Support
Assist the Executive Director in the daily administration of eight Health Insurance Funds and one County Insurance Commission Health program.
Support ongoing Fund operations and provide administrative and strategic assistance on special projects and priority initiatives.
Serve as a professional resource to internal teams, brokers, vendors, commissioners, and regulators in support of effective Fund operations and long-term stability.
Perform additional duties as delegated by the Public Sector Practice Leader, Executive Director, and Fund Commissioners/Executive Committee.
Executive Committee Meeting Support
Attend all Executive Committee meetings.
Partner with the Executive Director to present reports and respond to Committee questions and requests.
Identify meeting takeaways, document action items, and coordinate with appropriate team members to complete follow-up activities.
Support Committee needs before, during, and after meetings.
New Member Underwriting
Coordinate the underwriting process for prospective new members by facilitating communication among producers, the data team, underwriting, and the Executive Director.
Review and update submissions with the underwriter and Executive Director.
Verify rate accuracy and confirm that premium levels align with underwriting determinations.
Provide missing rate records and other required underwriting information.
Assist the Executive Director with new Fund feasibility studies and related implementation processes.
Budget Development and Financial Planning
Work with the Executive Director, Systems Analyst, data team, actuary, and underwriting team throughout the annual budget process.
Gather, review, validate, and finalize budget-related reports.
Coordinate with the actuary to obtain projections and assist in determining appropriate claim budgets.
Evaluate RFP responses related to expense lines.
Partner with the Executive Director to present budgets and funding options to the Finance Committee and Executive Committee.
Assist members in understanding budget assumptions, assessments, and related financial impacts.
Accounting and Financial Coordination
Serve as a resource to Accounting by communicating member activity, terminations, financial changes, professional fee updates, and other relevant information.
Review Financial Fast Tracks and verify accuracy.
Request, provide, and reconcile necessary reports and information with Accounting.
Work with Fund Treasurers and Accounting on accounts receivable and accounts payable matters.
Partner with the Executive Director to determine appropriate incurred but not reported reserves.
Rate Renewal and Rate Management
Coordinate with the Systems Analyst following budget adoption to develop rates that generate the required premium.
Troubleshoot rate errors and inconsistencies and ensure final rate accuracy.
Submit accurate rates to the enrollment system provider.
Assist the Systems Analyst with rate audits.
Keep internal stakeholders informed of renewal progress and status.
Provide rates to brokers and the Operations Manager throughout the year, as needed.
Correct rate errors and respond to rate-related inquiries.
RFP Management
Define the desired scope of services for RFPs.
Develop and manage the RFP timeline.
Review submissions for compliance with requirements.
Present RFP results and recommendations to the Contracts Committee and Executive Committee.
Wellness Grant Administration
Work with the Wellness Committee to determine the annual wellness budget.
Develop and maintain wellness grant guidelines and approved expense parameters.
Prepare a wellness budget based on member requests and present recommendations to the Wellness Committee.
Respond to grant requests, requested changes, and approved wellness expenses.
Assist brokers with wellness grant program administration and communication.
Reorganization Support
Prepare required resolutions, the Risk Management Plan, and the Cash Management Plan.
Serve as Chair when needed to conduct reorganization meetings and facilitate the voting process.
Surplus and Dividend Planning
Partner with the Executive Director to present and recommend surplus retention goals and dividend availability.
Broker, Legislative, and Regulatory Support
Respond to broker requests and service needs in a timely and professional manner.
Respond to legislative changes affecting Fund operations.
Coordinate responses to state inquiries and requests.
Coordinate OPRA requests within statutory deadlines.
Support internal audits and state examinations by gathering documentation, reviewing materials for accuracy, and responding to requests.
Staff Oversight and Contract Support
Mentor, delegate to, and oversee the work of the Assistant Account Manager.
Assist the Executive Director in the oversight, negotiation, and preparation of Fund Professional contracts.
Other Functions
Attends various meetings weekly, monthly, quarterly and yearly at both Conner Strong and client facilities.
Available as on-call contact outside regular working hours
Other duties as assigned
Requirements
Minimum of 5 years of middle market and/or large group Employee Benefits service experience gained from a leading brokerage or consulting firm strongly preferred.
Experience in the analysis and design of Health & Welfare plans. Strong technical knowledge and the ability to effectively develop strategies and negotiate appropriate placements in the marketplace.
Demonstrated knowledge of both self-insured and fully insured plans.
Experience with both private and public sector clients.
Experience in plan cost analysis, claim analysis and reconciliation and evaluation of financials.
In-depth knowledge of compliance and benefit plan regulatory issues.
Ability to develop and manage key relationships at all levels within the EB/Conner Strong organization as well as with outside clients and carriers; flexible in dealing with others.
Excellent organizational, communication, decision-making, interpersonal, collaborative and consultative skills; proven ability to multi-task under pressure
Ability to negotiate, influence and meet deadlines with minimal support from supervisor
Strong business acumen; proven leader with the ability to develop and manage key internal & external relationships.
Proficiency in MS Office (Word, Excel, PowerPoint, Access).
Bachelor's degree or equivalent business experience required.
Authorized to work in the United States on a full-time basis without Company sponsorship.
Working Conditions
Office environment with moderate noise level; Able to work flexible hours and travel to other Conner Strong buildings and client work sites on a regular basis
Salary for this position ranges from $75,000.00 - $100,000.00. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis.
Qualifying positions will also be eligible for comprehensive benefits, such as participation in family medical and dental insurance programs, 401K plan, and PTO.
#LIHYBIRD
Must be authorized to work in the United States on a full-time basis without Company sponsorship.
Conner Strong & Buckelew is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, affectional or sexual orientation, gender identity or expression, national origin, ancestry, nationality, age, disability (physical or mental), marital or domestic partnership or Civil Union status, pregnancy, family medical history or genetic information, atypical cellular or blood trait, military service or any other status protected by law.