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Sr. Key Account Manager

Company: Blue Cross & Blue Shield of Rhode Island
Location: Providence
Posted on: August 16, 2019

Job Description:

Monday, July 29, 2019

JOB SUMMARY:

Deliver a differentiated end to end client experience to self-funded and complex local, regional and national customers of at least 5,000 subscribers. Facilitate the day to day maintenance of these custom accounts inclusive of specialized benefits, enrollment files and vendor files/extracts. Manage annual renewal and any new sale via the establishment of a Purchase Activation Request (PAR) and the engagement of a Project Manager to ensure accurate and timely implementations. Oversee the development of detailed project plans and support Sales staff in setting appropriate client expectations regarding claims and administrative billing, state mandates, reporting and other items that are unique to this financial arrangement/client. Resolve issues and answer inquiries regarding claims, billing, enrollment, benefits and eligibility. Conduct member, client, and broker education sessions to maximize the experience of doing business with BCBSRI.



ESSENTIAL JOB FUNCTIONS:



  • Serve as a dedicated, consultative, one stop resource to dedicated accounts. Foster relationships with human resource and C-Suite personnel within accounts, as well as with the broker and consultants that owns that particular client. Participate in client sponsored groups and events.
  • Demonstrate a thorough understanding of all aspects of the ASC or complex account inclusive of stop loss, banking arrangements, ASO fees, broker commissions, etc, and a comprehensive understanding of downstream impacts of all client decisions to set appropriate expectations with the client and broker.
  • Lead all annual renewal and off-cycle activities that pertain directly to the client(s) implementation. With the support of internal resources you will ensure that products, eligibility, billing, and claims processing are configured and set up as requested.
  • Work in partnership with leadership for each client's Customer Care Center to resolve all daily and escalated issues and inquiries.
  • Record escalated concerns and operational issues in an internal project tracker utilized to facilitate weekly internal meetings with the operational team supporting the client (AE, PM, ESG Rep, etc.). Manage all issues to resolution and deliver thoughtful, client-oriented responses inclusive of Customer Service and Employer Support Group messaging.
  • Conduct member education sessions in the form of product and benefit presentations, health fairs, webinars and trade shows, locally and nationally, as needed. Proactively prepare schedule of Open Enrollment meetings by providing availability to clients giving priority to requests made by key clients. Develop and deliver open enrollment presentations inclusive of wellness offerings. Assess the wellness needs of employer groups and recommend solutions based on health promotion best practices. Analyze population demographic data, claims history, and other data to determine health awareness, education, and intervention needs and opportunities within employer groups.
  • Work in tandem with the clients dedicated Wellness Consultant to design and deliver multi-year wellness strategies that include benefit package financial modeling, incentive design and compliance tracking systems.
  • Provide support to the Sales teams; complete, validate and monitor the PAR form and implementation post sale inclusive of broker commissions. Prepare, maintain and delivery an annual key events calendar to the client and broker in conjunction with the Account Executive. Perform reporting (including Member Study Requests) and utilization analysis for assigned accounts.
  • Educate clients about available web-based tools and resources, including usage of electronic enrollment vehicles and 834 eligibility files. Facilitate on-site Electronic Enrollment training as requested by the client.
  • Thoroughly and accurately maintain Salesforce by populating all account activity, decision documents and contracts.
  • Prepare new business and renewal packages, collateral kits, and benefit summaries. Work with Marketing Communications to create and update (annually) custom collateral, as needed.
  • Provide status of monthly renewal progress/decisions at daily Renewal operations meetings to ensure timely account implementation.
  • Remain current with the details of all products and services offered by organization, as well as federal and state legislation impacting operations. Promote the products and direction of the organization to the customer and report back to the organization trends, issues, and situations uncovered in the marketplace.
  • Participate in department initiatives and projects and perform other sales related and operational duties as assigned.
  • Perform other duties as assigned.

    QUALIFICATIONS:

    Minimum Education and Experience:


    • Bachelor's degree in Business Administration, or related field, or an equivalent combination of education and experience
    • Five to seven years' experience in healthcare, provider or customer service, marketing, sales or related field
    • Valid driver's license

      Required Knowledge, Skills, and/or Abilities:


      • Knowledge of commercial products and benefits
      • Knowledge of national healthcare trends, including healthcare reform legislation
      • Advanced analytical skills, with the ability to interpret and synthesize complex data sets
      • Working knowledge of Microsoft Excel, PowerPoint, and Word
      • Good business acumen and political savvy
      • Knowledge of business process improvement techniques and strategies
      • Excellent verbal and written communications skills
      • Negotiation skills
      • Presentation skills
      • Decision-making skills
      • Good problem solving skills
      • Ability to interface with employees at all levels
      • Ability to effectively navigate ambiguous situations with limited direction
      • Excellent organizational skills and ability to successfully prioritize multiple tasks
      • Ability to handle multiple priorities/projects




        At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.

        The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf to view the "EEO is the Law" poster.

        Other details






        • Pay Type

          Salary




Keywords: Blue Cross & Blue Shield of Rhode Island, Providence , Sr. Key Account Manager, Executive , Providence, Rhode Island

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