Account position is charged with the responsibility of developing and
maintaining client strategies on Medicare Advantage and as the point of contact
for senior health services regarding MA business management for multiple key
accounts. The role will be tasked with maintaining a long-term relationship for
senior health services in the key account space and the development of
additional senior health services large accounts. In sum, this role establishes
strong consulting relationships and positions MA as a thought leader with the
customer in coordination with the BCBSM Customer Units.
executing on the MA financial arrangements including, but not limited to,
carve out vendors, incremental arrangements, and ad hoc pricing.
for Key Accounts and serves as an executive sponsor representing MA on
committees/workgroups to ensure successful implementation.
principal activities related to servicing external representatives
between the customer and BCBSM/BCN, to minimize any and all financial
risks and to maintain current standards on agreed upon performance
inquiries and appeals generated regarding the MA plan.
analytics for Large Accounts.
segment both internally and externally, including, but not limited to,
providing strategic direction, consulting, communications, and reporting.
satisfaction for MA products.
management for the development of a cost-effective department while
concurrently facilitating efficient operations to meet current and future
business needs within the organization.
of the executive leader.
supports the company plan.
budget, and identifies budget discrepancies. Researches cause and make
units in support of BCBSM key Medicare Advantage accounts.
Medicare Advantage Accounts utilizing Strategic, Clinical, and Marketing
data from various sources throughout the enterprise.
requirements. Identify current and future account demands to add value
and help senior health customers.
proposing solutions that meet their objectives.
do not turn to competition.
reports, with the assigned key account teams, product development, and
services on a timely basis.
on solution-oriented problem solving and innovation.
Directly supervises exempt and non-exempt staff in accordance with company
policies and applicable Federal and State Laws. Responsibilities include, but
are not limited to, effectively interviewing, hiring, terminating, and training
employees; planning, assigning, and directing work; appraising performance;
rewarding and counseling employees; addressing complaints and resolving
problems; supporting and encouraging the engagement process.
This position description identifies the responsibilities and tasks typically
associated with the performance of the position. Other relevant essential
functions may be required.
Bachelor’s degree in Marketing, Finance, Business Administration, or a related
field. Master’s degree in a related field preferred. Valid Michigan Accident
and Health Insurance License and valid, unrestricted driver’s license is
required within 90 days of the employee’s start date or the license expiration
date. Relevant combination of education and experience may be considered in
lieu of degree. Continuous learning, as defined by the Company’s learning
philosophy, is required. Certification or progress toward certification is
highly preferred and encouraged.
Ten (10) years of progressively more responsible experience in a Health Care/
Insurance environment with demonstrated technical experience that provides the
necessary knowledge, skills and abilities. Five (5) years management or
supervisory in Health Care/Insurance required.
and how they work together
supporting management team.
achieve desired results.
to individual, and how large group business is driven largely by
relationships, consulting, and being innovative.
to implement change effectively.
professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from
groups of managers, clients, customers, and the general public.
using whole numbers, common fractions, and decimals. Ability to compute
rate, ratio, and percent and to draw and interpret bar graphs.
furnished in written, oral, or diagram form. Ability to deal with
problems involving several concrete variables in standardized situations.
effectively supervise professional and non-professional staff and
interact with all levels of management.
ensure success of unit team.
by sharing ideas, reporting facts and other information, responding to
questions, and employing active listening techniques.
respond to questions as appropriate.
time management skills.
negotiating, and communication skills.
Work is performed in an office setting with no unusual hazards. Travel is
The qualifications listed above are intended to represent the minimum
education, experience, skills, knowledge and ability levels associated with
performing the duties and responsibilities contained in this job description.
We are an Equal Opportunity Employer. Diversity is valued and we will not
tolerate discrimination or harassment in any form. Candidates for the position
stated above are hired on an “at will” basis. Nothing herein is intended to
create a contract.