Account Manager II

Midsize Account Manager

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

This position is accountable for the acquisition of new business conservation of existing accounts and selling additional product lines where appropriate for Midsize 51 to 99.

Responsibilities

• 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 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.

Education/Experience

High School Diploma/GED required. Bachelor degree preferred or relevant experience in lieu of degree. 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. 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.

Additional Licensing, Certifications, Registrations

Requires a valid NJ drivers license. Requires a New Jersey State Health/Life License.

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.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

Salary Range: $72,600 - $95,235

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.