PAI Director National Sales - Hybrid Relocation Available
PAI Director National Sales - Hybrid Relocation Available
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Job Description
Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nations leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy consider joining our team!
Description
Position Purpose:
Leads develops organizes and administers effective and efficient sales and stop loss operations including securing and analyzing stop loss quotes reporting underwriting and sales to provide selffunded accounts with services in accordance with contracts laws and regulations. This individual will develop and maintain relationships with brokers and stop loss carriers and develop product offerings to meet the unique needs of different geographic markets. Directs national selffunded sales and is responsible for growing/developing new revenue streams/account business through the launch of new products and services.
Logistics: Planned Administrators Inc. One of BlueCross BlueShields South Carolina subsidiary companies.
Location: This is a fulltime position working 40hours/week) in a typical office environment. You will work an 8hour shift scheduled during our normal business hours of 8:00am 5:00pm. It may be necessary given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at: 17 Technology Circle Columbia SC 29203
What You Will Do:
- Directs/leads the sales team for PAIs selffunded business. Responsible for the development of custom plans and sales strategies by negotiating with selffunded prospects and brokers. Works with brokers in new markets to analyze network needs to position PAI for success. Directs the stop loss team on securing quotes and producing proposals.
- Responsible for ensuring the profitability of the business and its operations. Participates in the development of strategic plans and implements goals identified in strategic plans. Manages the budget and controls expenses allocated to the business to ensure cost effectiveness performance quality and profitability.
- Leads organizes and develops staff. Ensures system and operational compliance. Establishes guides and analyzes effectiveness of business operations against benchmarks that are developed as measures of success. Analyzes performance trends develops new/modified work processes to improve overall operations quality timeliness customer satisfaction and financial outcomes. Directs the hiring supervision and training of staff.
- Directs the sales processes and product offerings to increase/retain business and existing accounts. Provides account financial/underwriting analysis review and consultation. Oversees the completion of Requests for Proposals (RFPs).
To Qualify for This Position You Will Need:
- Bachelors in a jobrelated field.
- Work Experience: 7 years of successful selffunded sales and service experience and/or health insurance underwriting; 4 years of the 7 years must have been in a management role.
- Skills and Abilities: Thorough understanding of issues and trends related to healthcare insurance industry including competitive landscape capabilities plan offerings and market strategies.
- Ability to develop a 35 year strategic vision to support PAIs selffunded membership growth.
- Strong knowledge of stop loss policies and procedures. Strong understanding of reimbursement methodologies provider contracting/payment principles and valuebased provider arrangements.
- Understanding of pharmacy contracting trends and the ability to analyze financial impacts of Pharmacy Benefit Manager (PBM) arrangements on PAIs revenue.
- Ability to partner effectively with key stakeholders and leaders (sales account management operations etc. in evolving a strategic vision for selffunded growth. Excellent organizational budget management and project management skills.
- Ability to exercise good judgment with a capacity of communicating with a diverse range of individuals.
- Ability to handle confidential or sensitive information with discretion.
- Ability to persuade negotiate or influence others.
- Software and Other Tools: Microsoft Office.
- Licenses and Certificates: South Carolina Department of Insurance Producer license (must be obtained within 3 months of hire if not currently licensed in South Carolina)
We Prefer That You Have the Following:
- Masters degree in business (MBA) public health (MPH) or a masters degree in a health care or financial field is strongly preferred
- Work Experience: 10 years of successful selffunded sales and service experience and/or health insurance underwriting; 6 of the 10 years must have been in a management role; or at least 4 years of relevant experience in stop loss insurance sales/underwriting.
- Skills and Abilities: Comprehensive knowledge of products procedures systems claims payment policy.
Our comprehensive benefits package includes the following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
- Subsidized health plans dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- Onsite cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies theaters zoos theme parks and more
What We Can Do for You: (Standard unless otherwise directed)
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.
What to Expect Next:
After submitting your application our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours please attach your transcript to your application.
Management will be conducting interviews with the most qualified candidates with prioritization give to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancyrelated conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment please email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.
We participate in EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.
Some states have required notifications. Heres more information.
Required Experience:
Director
Employment Type
Full-Time
