Operations Account Manager Job:
Blue Cross and Blue Shield of Minnesota

20082-en_US
Blue Cross and Blue Shield of Minnesota
Eagan Minnesota
Healthcare
Description

About Blue Cross



At Blue Cross and Blue Shield of Minnesota, we are developing industry-leading strategies every day that make a healthy difference in people’s lives. Blue Cross has a legacy of improving health through innovation because we believe that everyone should have the opportunity to live the healthiest life possible. Chartered in 1933 as the state’s first health plan, we’ve been serving the health care needs of Minnesotans for more than 80 years.



 



Blue Cross supports you with competitive pay and a comprehensive benefits package. Many Employee Resource Groups are active in the company, promoting inclusion and helping us meet the diverse needs of our workforce and our members. Join us, and enjoy a work environment where all employees are respected and valued — a workplace honored with a perfect score on the Human Rights Campaign Corporate Equality Index for 2017. Find your place at a company that cares.



 


Description Summary

This position is responsible for retaining public sector accounts through service and administration excellence. The position achieves results by developing a deep and broad relationship with the client and acting as a customer advocate within Blue Cross driving for operational effectiveness and execution of the account strategic business plan. In partnership with the principal account manger, this position obtains benefit confirmation and renewal decision from client to ensure call, claim, and access to care readiness by effective date. Typically involved in new account implementations.


Accountabilities


  1.  Develop strong, trusting relationships with the client to ensure loyalty and retention.

  2. Drive operational success by identifying areas of concern and managing cross-functional activities including performance guarantees, claims performance, IT implementations, care management and customer service. 

  3. Achieve financial success of account performance by tracking margin reports, billing statement, and enrollment. Identify areas of opportunity, and work collaboratively with BCBS departments to ensure operations and underwriting effective financial reporting.

  4. Implement new clients as assigned, new products as sold, and new member populations as acquired, and legislative requirements as delivered. Oversee coordination with membership, benefit set-up, contracts, service, claims, auditing, health management, provider management, Select Account, pharmacy manager, IT, outside vendors, etc.

  5. Manage specific projects on behalf of customers including researching, developing and negotiating solutions. Influence client to drive efficiencies and profitability.

  6. Ensure accuracy of legal documents such as Summary Plan Description, benefit design agreement and exhibits.

  7. Primary accountability for client administrative and operational reporting. Interface with account reporting and principal account manager to analyze spending trends and draw action oriented conclusions.

  8. Drive effective member communication strategy and delivery, including client collateral mailings, welcome packets, resource guides, specific member mailings, open enrollment meetings, health fairs, etc.

  9. Co-manage and drive for growth opportunities including coordination and completion of RFP’s, completion of geo access, and disruption analysis. Communicate network changes and provide analysis of alternative network providers.

  10. Represent major accounts in global internal workgroups. Drive for resolution and advance progress for key operational performance. Represent the voice of the customer in communicating client expectations to internal workgroups.

  11. Makes on-site presentations to existing clients to educate and inform.


Requirements


  • Bachelor's degree in business administration, business communication, marketing, other appropriate professional degree required or 7 years of related work experience in lieu of a degree.

  • 3 years of health plan work experience in account management/account services/sales, or other areas requiring significant customer interaction and ability to effectively problem-solving issues to resolution.

  • Ability to establish matrix partner relationships and follow through on expectations.

  • Demonstrated strength and understanding of customer expectations and "sense of urgency" resulting in the ability to influence the organization to meet and exceed customer expectations.

  • Strong analytical ability, with ability to design, track, and work toward specific measurable performance targets for self and team.

  • Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization.

  • Ability to manage multiple and divergent priorities and deadlines, work independently and pro-actively, negotiate and manage expectations for mutually acceptable solutions and creatively problem-solving effective customer solutions.

  • Excellent Presentation skills.

  • Previous/proven success and experience delivering customer/producer communications. 

  • Demonstrated success in negotiations and ability to influence internal/external constituencies.

  • Demonstrated leadership and motivational skills in fast-paced environment.

  • Demonstrated interpersonal skills.

  • Must be willing to travel 15-30%.

  • Possess or ability to acquire State licensure to sell health and life insurance products within 60 days of employment.


Preferred Requirements


  • 3+ years of project management experience.

  • 5 years experience with multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems). 


FLSA Status

Exempt

Blue Cross Blue Shield of Minnesota 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, or any other legally protected characteristic.



 



Make a difference



Thank you for your interest in Blue Cross. Be part of a company that lets you be you — and make a healthy difference in people’s lives every day



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, or any other legally protected characteristic.



Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association

Basic Qualifications
Requirement