Hybrid Account Manager II

at NJM Insurance Group

• Job title: Account Manager II
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $73,700 - $96,705 per year
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Newark, United States

About the role

• Account Manager II managing Medicare Advantage Employer Group business and contract negotiations. Acquiring new business while ensuring contract renewals and additional product lines for existing clients.

Responsibilities

• Acquires new business (Medicare Advantage Employer Group).
• Manages contract renewals (all markets for Dental) and ensures services are provided that will maximize the potential for account retention and initial member enrollment.
• Ensures proper installation of new accounts (Medicare Advantage Employer Group) as well as changes to existing accounts.
• Plans and negotiates terms and conditions of contracts with existing accounts.
• Directs the implementation process for new clients and/or employers.
• Sells additional lines of business to existing clients.
• Compares and evaluates various products to make appropriate recommendations based on client needs assessment.
• Modifies existing contracts that require term changes that may be outside of predetermined guidelines or standards.
• Develops and conducts workshops for clients/groups relative to enrollment, claim procedures, and health industry regulations.
• Weighs factors and outcomes to make binding financial, operational, and service-related decisions.
• Ensures that all accounts and brokers are promptly informed of relevant legislative and regulatory issues and their associated impact.
• Performs other duties as assigned by management.

Requirements

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree
• Requires a minimum of four years (4) of professional sales or contract negotiation experience, preferably in the health insurance industry, with a documented track record of success.
• Requires a New Jersey State Health/Life License.
• Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).
• Should be knowledgeable in the use of intranet and internet applications.
• Requires knowledge of Group Health products lines including Managed Care and Dental.
• Requires knowledge of rating and policy renewal practices for all Funding mechanisms, i.e., fully insured prospective group, minimum premium, and ASO.
• Prefers knowledge of Horizon BCBSNJ products, underwriting policies, enrollment, billing, and claims processing procedures.

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement