Key Client Support Specialist

Role overview A senior client support role providing subject matter expertise to account management teams handling a large State Health Benefits Program. The position focuses on strategic relationship management, billing operations, and translating State legislation into business requirements, while indirectly supporting membership growth and retention.

Responsibilities - Provide subject matter support to account management teams across underwriting, ancillary products, benefit design, and market-specific dynamics. - Act as the billing subject matter expert, ensuring accurate billing administration and timely resolution of inquiries and discrepancies. - Maintain the billing master roster and develop monthly, quarterly, and annual forecasts highlighting trends, variances, risks, and opportunities. - Support plan design implementations by translating State legislation into clear business requirements. - Serve as the business lead for vendor integrations serving State members and liaise across internal support areas that impact client management. - Maintain a database of individual market stakeholders and their connections, and assist in developing the strategic business plan for retention and growth. - Train newly hired staff on the unique SHBP market.

Requirements - Bachelor's degree from an accredited institution preferred. - Minimum of 10 years of experience in group health. - Experience managing work in a fast-paced, performance-driven environment. - Knowledge of complex billing operations. - Proficiency with personal computers and supporting software in a Windows-based environment. - Familiarity with health insurance plans, health care delivery systems, and claim operations. - Understanding of pricing and underwriting principles.

Benefits and work setup - Salary range of $97,800 to $133,455, depending on level, experience, and factors including education, licensure, certifications, and location. - Comprehensive medical, dental, and vision coverage. - Retirement plans, generous paid time off, incentive plans, and wellness programs. - Paid volunteer time off and tuition reimbursement. - Employees must reside in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.