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You will be updated with latest job alerts via emailAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming health care. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.
Preference will be given to candidates in the surrounding metro area and WI border
How Is This Role Important to Our Work
This position is responsible for retaining key major and national accounts through service and administration excellence. The position achieves results by developing deep and broad relationships with clients and acting as a customer advocate within Blue Cross driving operational effectiveness and of the account strategic business plan. In partnership with the account managers this position obtains benefit confirmation and renewal decisions from clients to ensure call claim and access to care readiness by effective date. Typically involved in new account implementations.
A Day in the Life:
Develop strong trusting relationships with the client to ensure loyalty and retention.
Achieve financial success of account performance by tracking margin reports billing statement and enrollment. Help identify areas of opportunity and work collaboratively with BCBS departments to ensure operations and underwriting effective financial reporting.
Help operational success by identifying areas of concern and managing crossfunctional recovery and prevention initiatives in areas such as claims performance IT implementations care management and customer service. They are then expected to leverage those successes across the market segment with their colleagues.
Implement new clients as assigned; new products as sold; new member populations as acquired; and legislative requirements as delivered.
Oversee coordination with membership benefit setup contracts service claims auditing health management provider management Select Account pharmacy manager IT outside vendors etc.
Manage specific projects on behalf of customers including researching developing and negotiating solutions. Influence client to drive efficiency and profitability. Ensure accuracy of legal documents such as Summary Plan Description benefit design agreement and exhibits.
Primary accountability for client administrative and operational reporting. Interface with account reporting and principal account manager to analyze spending trends and draw actionoriented conclusions.
Drive effective member communication strategy and delivery including client collateral mailings welcome packets resource guides specific member mailings open enrollment meetings health fairs etc. Comanage and drive for growth opportunities including coordination and completion of RFPs completion of geo access and disruption analysis. Communicate network changes and provide analysis of alternative network providers.
Represent major and national accounts in internal work groups. Drive for resolution and advance progress for key operational performance.
Represent the voice of the customer in communicating client expectations to internal work groups. Makes onsite presentations to existing clients to educate and inform.
Mentor new or lowerlevel Client Advisors.
Nice to Have:
Bachelors degree.
Knowledge of Blue Cross and affiliates products.
Required Skills and Experiences:
5 years of related professional experience. All relevant experience including work education transferable skills and military experience will be considered.
3 years of health plan work experience in account management/account services/sales or other areas requiring significant customer interaction and ability to effectively problemsolving issues to resolution.
Possess and maintain a valid MN Resident Producer License in the lines of Life & Health/ Accident in good standing within 60 days of employment.
Strong analytical problem identification and resolution skills as these pertain to benefit plans.
Demonstrated success in negotiations and ability to influence internal/external constituencies.
Strong written and verbal communication skills as well as the ability to pay close attention to detail.
Ability to understand customer expectations and sense of urgency resulting in the ability to influence the organization to meet and exceed customer expectations.
Strong written oral and presentation skills. Ability to communicate with external clients.
Ability to establish matrix partnerships and follow through on expectations.
Proven success in influencing internal and external stakeholders to achieve desired outcomes.
Ability to train and mentor team members.
Overnight travel as .
Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is fulltime onsite.
Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
Medical dental and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
To discover more about what we have to offer please review our benefits page.
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on race color creed religion sex national origin genetic information marital status status with regard to public assistance disability age veteran status sexual orientation gender identity gender expression or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application interviewing completing any preemployment testing or otherwise participating in the employee selection process please direct your inquiries to
All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Required Experience:
Senior IC
Full-Time