Senior Benefits Specialist - 3rd Party - Group Health Benefits Administration
Job Description
Senior Benefits Specialist-3rd Party - Group Health Benefits Administration
(Large Group Medical Plans - Fully Insured and Self-Funded)
Phila., PA
(Hybrid role, in office 3 days a week)
At Homestead Smart Health Plans, we believe health benefits should be simple and sustainable.
Everyone should have affordable, high value healthcare coverage.
We believe there is a better way and we built one.
Visit our website homesteadplans.com for more details on how we are revolutionizing healthcare.
We are pioneers on a mission to provide employers the best healthcare options.
We seek change-makers who will help us transform US healthcare!
Job Summary:
We are seeking a highly skilled Strategic Client Partner to manage our largest and most complex specialty accounts.
This role blends strategic consulting, operational oversight, and data-driven client guidance to ensure exceptional service delivery and long-term client success.
This role is central to strengthening client partnerships, optimizing program performance, and driving strategic value across key accounts.
The ideal candidate brings deep experience in large-group health benefits, excels at navigating complex operational environments, and can translate data into actionable insights
We ask that you have at least 10+ years of experience with leading highly complex self-funded employer relationships.
Must have a proven track record of driving multimillion-dollar revenue portfolios, top-tier retention, and long-term client strategy through data-driven plan design.
Additionally, you'll need Concierge Customer Service skills, plan optimization knowledge, and the ability to form and maintain consultative partnerships.
All-in-all, you'll manage large employer groups with a focus on long-term retention, cost containment, and plan sustainability. This includes having oversight with any changes in laws, open enrollments, helping with complex claims, etc.
Duties/Responsibilities:
Client Partnership & Strategy
* Serve as the primary strategic advisor for large specialty accounts, building trusted, long-term relationships with senior client stakeholders.
* Lead strategic planning discussions to understand client objectives and design tailored health benefits strategies aligned with organizational goals.
* Develop multiyear account roadmaps focused on cost containment, member experience, and program optimization.
Operational Leadership
* Oversee end-to-end operational performance for assigned key accounts, ensuring seamless implementation, issue resolution, and service delivery.
* Partner with internal operations, clinical, and product teams to ensure client needs are met with precision and efficiency.
* Identify operational risks and proactively implement mitigation strategies.
Data Analytics & Insights
* Analyze claims, utilization, and performance data to identify trends, opportunities, and areas for improvement.
* Deliver data-driven insights that demonstrate program value and support strategic recommendations.
* Collaborate with analytics teams to refine reporting and develop custom insights for large-group clients.
Issue Resolution & Advocacy
* Act as the client's internal advocate, ensuring timely resolution of escalated issues and alignment across internal teams.
* Maintain a deep understanding of client priorities and ensure they are reflected in operational and strategic decisions.
Contract & Renewal Management
* Lead contract renewals, amendments, and pricing discussions for large specialty accounts.
* Ensure compliance with contractual obligations and maintain accurate documentation.
Qualifications and skills:
Education & Experience
* Bachelor's degree in business, healthcare administration, or related field; equivalent experience considered.
* 7-10+ years of experience managing large, complex client accounts (1,000+ members) in the health benefits or insurance industry.
* Proven experience in operations, strategic consulting, and data?driven account management.
Technical & Professional Skills
* Deep understanding of health benefits programs, insurance products, and regulatory requirements.
* Strong analytical skills with the ability to interpret complex data and deliver actionable insights.
* Exceptional communication and presentation skills, including experience with executive?level stakeholders.
* Demonstrated ability to lead cross?functional initiatives and manage multiple priorities in a fast?paced environment.
* Proficiency in Microsoft Office Suite and CRM platforms.
Other Requirements
* Valid Health Insurance license or ability to obtain within 90 days of hire.
* Valid driver's license and reliable, insured vehicle (mileage reimbursement provided).
Physical Requirements
* Prolonged periods of sitting and computer work.
* Ability to lift up to 15 pounds occasionally.
