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First Choice Health Network Inc
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  • Director, Account Management  

    - Seattle
    Job DescriptionJob DescriptionPosition SummaryThe Director of Account... Read More
    Job DescriptionJob DescriptionPosition Summary

    The Director of Account Management at First Choice Health is responsible for leading our client retention and growth strategies within the healthcare arena. This role requires developing and supporting efficient work processes that allow our Account Executives and Account Managers to deliver exceptional service to our clients.

    Equally important, this position will elevate our strategic partnerships, provide clear direction, and actively remove barriers to success for the team. The ideal candidate brings deep client strategy experience and can effectively communicate First Choice Health’s solutions and value proposition. You will be responsible for building strong relationships with consultants, brokers, clients, and third-party administrators (TPAs) across all service areas, while consistently meeting or exceeding the annual retention and revenue budgetary goals set by the CSMO.

    Salary Range

    Annual Salary: $154,000 to $180,000 annually, depending on experience and qualifications.

    Examples of Duties

    Visionary Leadership: Demonstrate visionary leadership by aligning account management initiatives with First Choice Health’s corporate objectives to improve current and future client success programs.

    Team Building: Build, mentor, and maintain a best-in-class strategic Account Executive and Account Manager team.

    Strategic Broker & Consultant Partnerships: Partner closely with consultants and brokers to ensure they are fully aware of the competitive advantages of utilizing First Choice Health.

    Communication Oversight: Oversee all external communications from the account management team to ensure consistent, highly professional messaging across the board.

    Relationship Management: Develop and maintain strong, productive relationships with clients, brokers, consultants, and TPAs across all lines of business.

    Performance Tracking: Monitor team performance and client health metrics to proactively remove barriers to success and ensure high client satisfaction.

    Revenue & Retention Accountability: Own the annual retention and revenue budgetary goals set by the CSMO, implementing strategies to meet and exceed these targets.

    Qualifications & Requirements

    Industry Experience: Minimum of 5 years of experience working specifically within the self-funded healthcare insurance industry.

    Leadership Experience: Minimum of 5 years of managerial or equivalent experience in a senior-level position within the healthcare industry.

    Analytical Skills: Proven ability to understand, interpret, and leverage both quantitative (data-driven) and qualitative (relationship-driven) analytics to drive strategy and decision-making.

    Communication Skills: Exceptional ability to articulate complex healthcare solutions and value propositions clearly to sophisticated audiences, including C-suite executives and top-tier brokers.

    Education: Bachelor’s degree in Business, Marketing, Healthcare Administration, or a related field (or equivalent validated career experience).

    Licensing: Active State Health Insurance License (or the ability to obtain one within 90 days of hire).

    Technical Proficiency: Strong familiarity with CRM software (like Salesforce) and healthcare data analytics platforms.

    About First Choice Health

    First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys.

    At First Choice Health, we are proud to deliver the personalized, quality service our clients deserve, while reducing costs and keeping their members healthy.

    Our Purpose, Values & Culture

    Uniting providers, employers, and individuals, we deliver sustainable solutions that elevate the health and care of our communities.

    Our Core Values

    Care

    Transparent

    Collaborate

    Relentless

    Innovate

    Cultivating Our Culture

    We strive to uphold the above values and take steps to cultivate our culture through each one. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life.

    At First Choice Health, we believe that a culture that fosters belonging—one that accepts employees for who they are, nurtures creative thinking, and appreciates different perspectives—drives our success. By cultivating an environment where every voice is valued, we empower our employees to bring their best selves to work, enabling us to serve our clients and communities more effectively.

    Benefits

    First Choice Health offers comprehensive benefits focused on supporting employee health, financial security, and work-life balance.

    Medical, Dental, and Vision Coverage: Comprehensive healthcare options for employees and their eligible dependents.

    Flexible Spending Accounts (FSA) & Health Savings Accounts (HSA): Pre-tax accounts to help manage out-of-pocket medical and dependent care expenses.

    401(k) Retirement Plan: Savings plan options with a competitive company match to help secure your financial future.

    Paid Time Off (PTO): Generous paid time off program alongside paid company holidays to support rest and recovery.

    Life and Disability Insurance: Company-paid life insurance and short/long-term disability coverage for added peace of mind.

    Employee Assistance Program (EAP): Confidential support services for mental health, financial guidance, and work-life balance.

    Note: Benefits are subject to change with or without notice.

    Physical Requirements

    Vision & Hearing: Ability to see and hear at normal levels with or without aid.

    Mobility: Ability to sit for long periods of time.

    Dexterity: Finger and hand dexterity.

    Flexibility: Ability to bend and twist.

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  • Job DescriptionJob DescriptionPOSITION SUMMARY:The Senior Enterprise S... Read More
    Job DescriptionJob Description

    POSITION SUMMARY:

    The Senior Enterprise Sales Executive is a TPA or self-insured employer sales specialist and subject matter expert for the company. The primary goal is to increase profitable revenue through achieving sales goals in our self-insured employer/CIN markets. This may include selling Third Party Administration services by providing expertise and extensive knowledge of Stop Loss and TPA products and services. These include health, dental, vision, COBRA, Section 125, as well as disease management and wellness services. The Senior Sales Executive is also responsible for relationship management with key consultants and brokers.


    EXAMPLES OF DUTIES:

    Increase revenue and membership for company’s self-insured employer/CIN business segment and expand distribution channelsAbility to work with and support the Chief Sales Officer and other Sales Executives, Account Management staff, and key partnersTranslate business strategies into clear objectives and tactics by marketDevelop appropriate solutions to client issues and concerns using excellent problem solving skillsConduct meetings and foster effective communication with assigned accounts or brokersPrepare and present professional and comprehensive proposals detailing products, services and optionsLeverage cross selling opportunitiesBe accountable for achieving sales targetsOther duties as required or assigned

    QUALIFICATIONS:

    A minimum of 7 year’s progressive direct sales experience in TPA/Stop Loss or ASO sales; or commensurate experience as a consultant or at a brokerage acceptedContemporary knowledge of employer self-insurance and health plan benefit administrationEstablished relationships with distribution networks and business partnersAbility to work independently and/or in collaboration with various departments and levels of personnelHave a current and unrestricted Property and Casualty or Life and Disability Producer’s License or ability to obtain such license within 60 days of employmentCurrent Washington state driver’s licenseAbility to travel with or without noticeAbility to organize and prioritize work Excellent presentation, written and verbal communication skillsDemonstrate effective problem solving, analytical and organization skillsStrong human relations skillsProfessional appearance and manner

    EDUCATION:

    BA/BS degree or equivalent combination of education and experience required; MBA, MHA, or advanced and related professional certifications preferred

    PHYSICAL REQUIREMENTS:

    Ability to see and hear within normal limits with or without aidAbility to bend, and move within normal rangesAbility to be stationary for long periods of timeFinger and hand dexterityAble to lift a minimum of 10-20 pounds

    Access to PHI:

    Routine & re-occurring access to all forms of PHI – The duties of the position require regular and unrestricted contact with PHI.

    ABOUT FIRST CHOICE HEALTH:

    First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys.

    At First Choice Health, we are proud to deliver the personalized, quality service our clients deserve, while reducing costs and keeping their members healthy.


    OUR PURPOSE, VALUES & CULTURE:

    Uniting providers, employers, and individuals, we deliver sustainable solutions that elevate the health and care of our communities.


    CARE TRANSPARENT COLLABORATE RELENTLESS INNOVATE


    We strive to uphold the above values and take steps to cultivate our culture through each one. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life. Learn more about how we foster a culture of belonging.


    At First Choice Health, we believe that a culture that fosters belonging- one that accept employees for who they are, nurtures creative thinking, and appreciates different perspectives drives our success. By cultivating an environment where every voice is valued, we empower our employees to bring their best selves to work, enable us to serve our clients and communities more effectively. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life.


    BENEFITS:
    FCH offers comprehensive benefits focused on supporting employee health, financial security, and work-life balance.

    Health & Insurance: Medical (HSA and PPO plans) and Vision coverage, Dental plan, employer-provided Life Insurance, and Short- & Long-Term Disability coverage.

    Financial & Retirement: Health Savings Account (HSA) with company contributions, Flexible Spending Account (FSA), 401(k) plan with an employer match, and discretionary Profit Sharing.

    Time Off & Development: Paid Time Off (PTO) accrued based on tenure, Paid Holidays (including floating holidays and time for community service), and Tuition Reimbursement for continuing education.

    Support: Employee Assistance Program (EAP) for confidential professional counseling, and a Wellness program with rewards.

    Note: Benefits are subject to change with or without notice.

    Read Less
  • Customer Care Representative I  

    - Seattle
    Job DescriptionJob DescriptionCUSTOMER CARE REPRESENTATIVE IPOSITION S... Read More
    Job DescriptionJob DescriptionCUSTOMER CARE REPRESENTATIVE I

    POSITION SUMMARY:
    The Customer Care Representative 1 provides courteous, accurate, and timely responses to routine employee benefits inquiries via phone, email, and chat from members and providers. This role involves handling standard inquiries and following up as needed, with support from senior representatives for complex issues. Bilingual proficiency (Spanish) is a plus. Individuals who thrive at First Choice Health exhibit the following success skills-- Caring, Transparency, Collaboration, Relentlessness, and Innovation.This is a remote job that requires working hour from 6AM-7PM (8 hour shift). Preference location- Washington, Oregon, Idaho, Alaska, Nevada.


    RESPONSIBILITIES:● Phone and Queue Management: Handle all assigned routine inquiries regarding benefits, eligibility, claims, and provider/facility locations within the network.
    ● Customer Assistance: Answer member and provider calls about employee benefits and eligibility, claims payment and processing status.
    ● Issue Escalation: Route challenging or complex inquiries, especially emotional or difficult calls, to Customer Care Representative II or Senior.
    ● Documentation: Log each customer interaction and resolution in the Customer Relationship Management (CRM) system and track action items related to the interaction as needed.
    ● Standards and Compliance: Meet key performance indicators (KPIs) for response time, accuracy, and adherence to call schedules, while ensuring compliance with confidentiality guidelines for Protected Health Information (PHI).
    ● Support and Teamwork: Support team goals by handling calls within the queue efficiently and escalating issues appropriately.
    ● Chat Support: Manage one or more chat sessions at a time to assist with basic customer inquiries.
    QUALIFICATIONS:
    ● High School Diploma or equivalent.
    ● 2+ years in customer service or similar role, with experience in healthcare or insurance preferred.
    SKILLS:
    ● Has customer service phone skills.
    ● Strong written and verbal communication skills and an empathetic approach to customer service.
    ● Basic understanding of employee healthcare benefits and provider networks.
    ● Effective time management, prioritization and multitasking skills
    ● Competency with CRM systems, Google Workspace, and Microsoft Office Suite.
    ● Ability to work collaboratively in a team and seek guidance as needed.

    PHYSICAL REQUIREMENTS:
    ● Ability to see and hear within normal ranges with or without aid.
    ● Ability to bend, and move within normal ranges.
    ● Ability to be stationary for long periods of time.
    ● Finger and hand dexterity.
    ● Able to lift a minimum of 10-20 pounds.


    ABOUT FIRST CHOICE HEALTH:
    First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys.
    At First Choice Health, we are proud to deliver the personalized, quality service our clients deserve, while reducing costs and keeping their members healthy.

    OUR PURPOSE, VALUES & CULTURE:
    Uniting providers, employers, and individuals, we deliver sustainable solutions that elevate the health and care of our communities.

    CARE TRANSPARENT COLLABORATE RELENTLESS INNOVATE

    We strive to uphold the above values and take steps to cultivate our culture through each one. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life. Learn more about how we foster a culture of belonging.
    At First Choice Health, we believe that a culture that fosters belonging- one that accept employees for who they are, nurtures creative thinking, and appreciates different perspectives drives our success. By cultivating an environment where every voice is valued, we empower our employees to bring their best selves to work, enable us to serve our clients and communities more effectively. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life.

    BENEFITS:
    FCH offers comprehensive benefits focused on supporting employee health, financial security, and work-life balance.Health & Insurance: Medical (HSA and PPO plans) and Vision coverage, Dental plan, employer-provided Life Insurance, and Short- & Long-Term Disability coverage.Financial & Retirement: Health Savings Account (HSA) with company contributions, Flexible Spending Account (FSA), 401(k) plan with an employer match, and discretionary Profit Sharing.Time Off & Development: Paid Time Off (PTO) accrued based on tenure, Paid Holidays (including floating holidays and time for community service), and Tuition Reimbursement for continuing education.Support: Employee Assistance Program (EAP) for confidential professional counseling, and a Wellness program with rewards.Note: Benefits are subject to change with or without notice.
    PHYSICAL REQUIREMENTS:
    1. Ability to see and hear at normal levels with or without aid.
    2. Ability to sit for long periods of time.
    3. Finger and hand dexterity.
    4. Ability to bend and twist.
    Access to PHI:

    Routine and limited and does not require manager approval - The duties of the position require routine contact with a limited set of PHI that does not require manager approval. Examples include claims adjudication.

    For California employees, please review Privacy Act: https://www.fchn.com/documents/fch/pdf/caprivacynoticeemployeesandapplicantsfina


    Read Less
  • Excess Loss Analyst  

    - Seattle
    Job DescriptionJob DescriptionPOSITION SUMMARY:The Excess Loss Analyst... Read More
    Job DescriptionJob DescriptionPOSITION SUMMARY:

    The Excess Loss Analyst manages Stop Loss insurance contracts for our clients. Key responsibilities include tracking monthly reports, submitting required claims documentation, coordinating funding requests, and preparing reports to help with contract renewals.

    EXAMPLES OF DUTIES:

    Monitor Claims: Review weekly claims activity to identify those eligible for Stop Loss reimbursement based on specific client contracts, using company-provided tools.

    Manage Contract Data: Stay current on changes to Stop Loss contracts and update our internal tracking systems to ensure accurate reporting.

    Submit Documentation: File timely notices and claims submissions when eligible cases arise, including coordinating with the Medical Management team.

    Track Finances: Monitor claim submissions and receipt of Stop Loss funds.

    Reporting: Prepare and distribute monthly reports and renewal documentation to Stop Loss carriers.

    Coordinate Funding: Work with the Claims Department to request advance funding and release claims once payments are received.

    External Collaboration: Partner with outside vendors for subrogation and COBRA-related tasks.

    Internal Advocacy: Serve as an internal point of contact for Stop Loss questions or issues, collaborating with other departments as needed.

    Guide Additional Tool Enchancements: Work with the team to identify improvements for our internal analytical tools.

    QUALIFICATIONSCore Requirements (Must-Haves)

    Experience: 3–5 years of claims handling or related TPA (Third-Party Administrator) experience.

    Technical Aptitude: Ability to learn reinsurance practices, interpret complex Stop-Loss contracts, and understand internal claims processing and Medical Management activities.

    Data Security: Ability to securely handle Protected Health Information (PHI) and manage encrypted electronic file transfers.

    Soft Skills: Strong analytical problem-solving skills, excellent written/verbal communication, and the ability to work both independently and collaboratively within a team.

    Software: Proficiency with Microsoft Office and/or Google Workspace products.

    Preferred Qualifications (Nice-to-Haves)

    Education: Bachelor’s degree preferred.

    Background: Proven organizational and research skills with a strong attention to detail; a background in mathematics or auditing is highly preferred.

    Industry Knowledge: Familiarity with medical terminology and standard coding formats (including CPT and ICD-9/ICD-10).

    PHYSICAL REQUIREMENTS:

    Ability to sit for long periods of time.

    Ability to see and hear within normal ranges, with or without aids.

    Ability to speak clearly.

    Hand and finger dexterity within normal ranges.

    Access to PHI:

    Routine & re-occurring access to all forms of PHI – The duties of the position require regular and unrestricted contact with PHI.

    ABOUT FIRST CHOICE HEALTH:

    First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys.

    At First Choice Health, we are proud to deliver the personalized, quality service our clients deserve, while reducing costs and keeping their members healthy.


    OUR PURPOSE, VALUES & CULTURE:

    Uniting providers, employers, and individuals, we deliver sustainable solutions that elevate the health and care of our communities.


    CARE TRANSPARENT COLLABORATE RELENTLESS INNOVATE


    We strive to uphold the above values and take steps to cultivate our culture through each one. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life. Learn more about how we foster a culture of belonging.


    At First Choice Health, we believe that a culture that fosters belonging- one that accept employees for who they are, nurtures creative thinking, and appreciates different perspectives drives our success. By cultivating an environment where every voice is valued, we empower our employees to bring their best selves to work, enable us to serve our clients and communities more effectively. We work as a community, guided by our values and are unified in our mission to make healthcare access easier for everyone from all walks of life.


    BENEFITS:
    FCH offers comprehensive benefits focused on supporting employee health, financial security, and work-life balance.

    Health & Insurance: Medical (HSA and PPO plans) and Vision coverage, Dental plan, employer-provided Life Insurance, and Short- & Long-Term Disability coverage.

    Financial & Retirement: Health Savings Account (HSA) with company contributions, Flexible Spending Account (FSA), 401(k) plan with an employer match, and discretionary Profit Sharing.

    Time Off & Development: Paid Time Off (PTO) accrued based on tenure, Paid Holidays (including floating holidays and time for community service), and Tuition Reimbursement for continuing education.

    Support: Employee Assistance Program (EAP) for confidential professional counseling, and a Wellness program with rewards.

    Note: Benefits are subject to change with or without notice.

    Read Less

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