Account Services Representative - Premier, Consultant

Your Role

The Premier Accounts team manages all group business with 3,000 or more employees, with nearly 1 million total members. Our strategy to win in the market is to understand and meet the needs of commercial/national public-sector employers, labor trusts, and their consultants in a way that exceeds their expectations by providing easy, understandable interactions and affordable choices through efficient use of premium dollars to establish Blue Shield as the preferred choice in health plans. Reporting to the Senior Manager, Account Service, you will be an integral part of the account management team, serving as a liaison between customers/consultants, the account teams and the internal operations staff for the plan. You will be responsible managing key project deliverables for a complex, multi-sited employer group, supporting any technical & operational process improvements and supporting customer reporting with key informational updates to account teams and the HR staff directly.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 7 years of prior relevant experience
• Requires a current active Accident & Health Agent or Sickness and Life license with California Department of Insurance or the ability to acquire within the first 90 days of employment to maintain employment
• Requires valid California driver''s license and proof of insurance
• Requires experience with data analytics tools including strong MS Office Suite, SharePoint and Teams skills
• Requires experience in explaining complex concepts, ideas, and solutions for processes, products, and capabilities to a wide range of audiences including internal operations leaders, C-Suite & HR decision-makers, and external vendor partners, when applicable
• Some familiarity with formal project management strategies is preferred
• Knowledge of Blue Shield of California (BSC) or prior healthcare payer experience is preferred

Your Work

In this role, you will:

• Maintain robust stakeholder relationships and build strong relationships with clients' internal operations staff (e.g. HR/Benefits staff)
• Manage large-scale, complex client projects that involve multiple internal and external stakeholders
• Develop project charters, integrated project plan, resource plan, risk management plan, test plan and related project management artifacts for client-driven projects
• Define and track project milestones while developing, maintaining, and reporting on an overall integrated delivery plan for critical client-specific projects
• Facilitate operational readiness (business, technical and operational) activities throughout the lifecycle of client initiatives including change management activities to support readiness
• Determine key client issues, develop effective action plans, and implement delivery of products or solutions requested by the client
• Demonstrate a clear and organized method of tracking client issues including maintaining agendas and meeting notes for regular client check-in calls; support requests, pull, review and distribution of client reports
• Maintain a good understanding of upcoming developments in the healthcare market (healthcare reform, state and local healthcare legislation, new entrants, customer need shifts) and understand how they may impact client's benefit offerings and member eligibility
• Work collaboratively with internal functional groups including but not limited to: Claims Operations, IT infrastructure, Network Management, Data Analytics, Medical Care Solutions and others

Your Work

In this role, you will:

• Maintain robust stakeholder relationships and build strong relationships with clients' internal operations staff (e.g. HR/Benefits staff)
• Manage large-scale, complex client projects that involve multiple internal and external stakeholders
• Develop project charters, integrated project plan, resource plan, risk management plan, test plan and related project management artifacts for client-driven projects
• Define and track project milestones while developing, maintaining, and reporting on an overall integrated delivery plan for critical client-specific projects
• Facilitate operational readiness (business, technical and operational) activities throughout the lifecycle of client initiatives including change management activities to support readiness
• Determine key client issues, develop effective action plans, and implement delivery of products or solutions requested by the client
• Demonstrate a clear and organized method of tracking client issues including maintaining agendas and meeting notes for regular client check-in calls; support requests, pull, review and distribution of client reports
• Maintain a good understanding of upcoming developments in the healthcare market (healthcare reform, state and local healthcare legislation, new entrants, customer need shifts) and understand how they may impact client's benefit offerings and member eligibility
• Work collaboratively with internal functional groups including but not limited to: Claims Operations, IT infrastructure, Network Management, Data Analytics, Medical Care Solutions and others