Account Manager II

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: This position is accountable for the acquisition of new business (Medicare Advantage Employer Group), conservation of existing accounts and selling additional product lines where appropriate for the SHBP Local, FEP, Small Group Broker, Medicare, Midsize, and Dental markets. Responsibilities: Acquires new business (Medicare Advantage Employer Group). Manages contract renewals (all markets for Dental) and ensures services are provided that will maximize the potential for account retention and initial member enrollment. Ensures proper installation of new accounts (Medicare Advantage Employer Group) as well as changes to existing accounts. Plans and negotiates terms and conditions of contracts with existing accounts. Directs the implementation process for new clients and/or employers. Sells additional lines of business to existing clients. Compares and evaluates various products to make appropriate recommendations based on client needs assessment. Modifies existing contracts that require term changes that may be outside of predetermined guidelines or standards. Develops and conducts workshops for clients/groups relative to enrollment, claim procedures, and health industry regulations. Weighs factors and outcomes to make binding financial, operational, and service-related decisions. Ensures that all accounts and brokers are promptly informed of relevant legislative and regulatory issues and their associated impact. Performs other duties as assigned by management. Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: High School Diploma/GED required Bachelor degree preferred or relevant experience in lieu of degree Note that licensing requirements still apply for internal candidates. Requires a minimum of four years (4) of professional sales or contract negotiation experience, preferably in the health insurance industry, with a documented track record of success. Additional licensing, certifications, registrations: Requires a valid NJ drivers license. Requires a New Jersey State Health/Life License. Under specific circumstances, internal candidates may be considered provided they obtain their NJ State Health/Life license within 3 months in role. Not IC eligible until license is received. Knowledge: Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications. Requires knowledge of Group Health products lines including Managed Care and Dental. Requires knowledge of rating and policy renewal practices for all Funding mechanisms, i.e., fully insured prospective group, minimum premium, and ASO. Prefers knowledge of Horizon BCBSNJ products, underwriting policies, enrollment, billing, and claims processing procedures. Skills and Abilities: Negotiation Verbal and written communication Public speaking and presentation Interpersonal Relationship-building Travel (If Applicable): Travel throughout tri-state area is required. Salary Range: $71,500 - $93,870 This position is eligible for sales incentive compensation in addition to base pay. This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Created: 2024-11-05