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Aca Insurance Jobs in Alabama (NOW HIRING)

NaphCare

Director of Jail Operations

Birmingham, AL

Employees enrolled in our health insurance program receive prescriptions free of charge when filled ... Assurance of compliance with NCCHC, ACA and professional nursing standards. Travel is frequent.

NaphCare

Behavioral Health Director

Bessemer, AL · On-site

... with ACA, NCCHC standards Qualifications Experience / Requirements / Qualifications / Skills ... Health, dental & vision insurance that starts day one! * Prescriptions free of charge through our ...

Naphcare, Inc.

Behavioral Health Director

Bessemer, AL · On-site

... with ACA, NCCHC standards Qualifications Experience / Requirements / Qualifications / Skills ... Health, dental & vision insurance that starts day one! * Prescriptions free of charge through our ...

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Aca Insurance information

What are some common challenges faced by ACA Insurance agents when assisting clients with health coverage enrollment?

ACA Insurance agents often encounter challenges such as explaining the complexities of various health plans, keeping up with frequent policy changes, and ensuring clients understand their eligibility for subsidies or special enrollment periods. Agents must also manage tight deadlines during open enrollment and navigate technical issues with marketplace platforms. Strong communication skills and up-to-date knowledge of ACA regulations are essential to effectively guide clients through their coverage options.

What are ACA Insurance agents?

ACA Insurance agents are licensed professionals who help individuals and families understand, select, and enroll in health insurance plans that comply with the Affordable Care Act (ACA). They provide guidance on plan options, eligibility for subsidies, and the enrollment process. These agents ensure clients find coverage that fits their needs and complies with federal and state requirements. They can assist with both Marketplace and off-Marketplace plans, answer questions about coverage, and help with renewals or changes to existing policies.

What are the key skills and qualifications needed to thrive as an ACA Insurance Agent, and why are they important?

To excel as an ACA Insurance Agent, you need a thorough understanding of health insurance policies, ACA regulations, and the enrollment process, typically backed by a state insurance license. Familiarity with electronic enrollment platforms, CRM systems, and continuing education certifications is essential. Strong interpersonal skills, active listening, and the ability to explain complex information clearly help agents build trust with clients and guide them through coverage options. These competencies are vital to ensuring clients select appropriate health plans and remain compliant with regulations, resulting in client satisfaction and business growth.

What is the difference between Aca Insurance vs Health Insurance Agent?

AspectAca InsuranceHealth Insurance Agent
CredentialsMay require licensing and knowledge of ACA regulationsRequires health insurance licensing and sales certification
Work EnvironmentTypically involves policy analysis, customer support, and complianceFocuses on selling health insurance plans and client consultations
Employer & Industry UsageUsed by insurance companies, brokers, and government programsEmployed by insurance agencies, brokers, and independent agents
Search & Comparison IntentUnderstanding ACA-specific coverage options and regulationsComparing health insurance plans and selling strategies

While Aca Insurance focuses on health plans compliant with the Affordable Care Act, a Health Insurance Agent actively sells and advises clients on various health insurance options, including ACA plans. Both roles require licensing and industry knowledge, but their primary functions differ: one emphasizes policy compliance and administration, the other sales and client engagement.

Aca Insurance jobs near you
Consulting Actuary - ACA Risk Adjustment

Consulting Actuary - ACA Risk Adjustment

Blue Cross and Blue Shield of North Carolina

Huntsville, AL

$143K - $229K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

164th of 261 rated insurance

Job description

Job Description

As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing and pricing sophisticated insurance products. You will support company objectives by providing reliable, actionable actuarial insights and recommendations, proactively identifying and addressing complex risks and opportunities. This position requires adaptability to the evolving landscape of the industry, ensuring our actuarial practices remain at the forefront of innovation and excellence.

What You'll Do

  • Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work

  • Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers

  • Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company

  • Communicate effectively with all levels and divisions within the organization, including Divisional Leadership

  • Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates

  • Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor

  • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials

What You Bring

  • Bachelor's degree or advanced degree (where required)

  • Member of the American Academy of Actuaries

  • Fellow of the Society of Actuaries

  • 7 years of relevant actuarial experience, related experience may be considered.

  • In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.

Bonus Points

  • Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred

  • Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred

  • Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes.

  • Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.

  • Work-life balance, flexibility, and the autonomy to do great work.

  • Medical, dental, and vision coverage along with numerous health and wellness programs.

  • Parental leave and support plus adoption and surrogacy assistance.

  • Career development programs and tuition reimbursement for continued education.

  • 401k match including an annual company contribution

  • Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$143,616.00 - $229,786.00

Skills

Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Affordable Care Act (ACA), Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

What Blue Cross and Blue Shield of North Carolina employees say

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