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About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

Provides organization, research, communication, and resolution to the producer community regarding Moda Health, Producer Agreements, terminations, and commission inquiries. Act as an administrative coordinator for our department and a marketing liaison for Sales and Service. This is a FT WFH position.

Pay Range

$23.34 - $26.26 hourly (depending on experience). Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• College degree or equivalent of 3 years in health insurance and/or employee benefits/administration field and/or sales and account management experience.
• Strong sales and presentation skills required.
• Consultative approach to developing a long-term relationship with brokers and customers.
• Knowledge of Medical and Dental insurance business as it relates to contracts, state, and federal law. Knowledge of systems regarding enrollment and eligibility, processing of claims, handling of billings, customer service, and related information.
• Knowledge of competitive landscape, market position and plan differentiators.
• Ability to deal effectively with a variety of individuals and Producers related to the provision of services designed to retain existing membership and sell new business.
• Ability to communicate effectively both verbally and in writing.
• Presents a positive and professional image in the communities we serve.
• Maintain a valid driver’s license.
• Ability to travel on business and overnight as needed.
• Ability to be a self-motivator and work independently with little supervision.
• Ability to come in to work on time and daily.
• Ability to handle a pushcart/hand truck and ability to lift boxes up to 40 lbs. in and out the trunk of a car.

Primary Functions:

• Responds to and resolves producer commission questions, problems, and inquiries. Acts as liaison between accounting, membership accounting, and the producer community.
• Manages and tracks Medicare Advantage tests and any Medicare required documentation necessary for Medicare agent appointment. Relays any Moda Medicare Addendums in accordance with CSM guidelines pertaining to agents and sales.
• Manages and maintains the Agent Database application.
• Issues, receives, and processes producer appointment contracts.
• Meets turn-around time objectives for appointments, setup, and Medicare audit requirements.
• Handles sensitive information and situations in such a manner as to enhance Moda’s image.
• Completes book of business transfers, ensuring that communication occurs to the Service team on affected group business and Membership Accounting for individual business.
• Performs and maintains thorough and accurate documentation and record keeping.
• Responsible for performing the Medicare monthly verification process for agents, website verification, and ensuring licenses are current along with checking both the OIG and SAM websites to ensure they are eligible to receive commissions.
• Ensures that we meet state requirements regarding licensing and appointment processing.
• Assists with agent communications, including but not limited to Broker Blasts and emails.
• Gathers, documents, analyzes, and integrates requirements for new and existing projects.
• Provides support and assists with planning, coordination and execution of Sales events, such as producer roadshows, educational webinars and other events.
• Researches commissions issues, and when appropriate updates corrections to our core operating system.
• Reviews, routes, and responds to voicemails and emails.
• Performs other duties as assigned.

Working Conditions & Contact with Others

Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.