Account Manager - Non-Sales, Consultant - Group Medicare

Your Role

The Group Medicare Account Management team provides strategic oversight, consultative support, and superior service to our employer groups (State of California, Public Agencies, and School Districts, Union/Labor groups) participating in their health benefits program. The Account Manager - Non-Sales, Consultant will report to the Director, Group Medicare Account Management. You will be a strategic advisor and provide consultative client management through developing internal and external relationships and understanding of the client business to identify service needs, plan service delivery and drive use of proactive service and support.

Your Work

In this role, you will:

• Have an overall understanding of Group Medicare as a subject matter expert for internal and external stakeholders
• Understand the regulations and compliance requirements for Group Medicare vs Individual Medicare
• Have access to and build relationships with key executive-level decision makers, understand their priorities, and build a trusted advisor relationship
• Develop and maintain long-term growth strategies founded on deep client and industry knowledge 
• Identify issues and work with internal business partners not only to remediate, and resolve the issue, but help identify trends and areas of opportunity for the overall process while collaborating with our business partners in order to improve the client and member journey
• Help build client-facing materials including, but not limited to, reporting and trend analysis   
• Support Commercial Account Executives who manage overall relationships with accounts and consultants, represent Blue Shield in final round bid interviews, and ongoing client meetings to understand their needs to ultimately retain client accounts; may also lead open enrollment meetings for key accounts
• Consult with functional partners on Medicare line of business to drive member outcomes which result in meeting clients' goals and objectives while achieving corporate goals, and build out specific client outcomes to report-out to show our effectiveness in Medicare Stars and risk adjustment scores

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience, including in client-facing roles
• Requires direct experience with Group Medicare
• Requires deep understanding of CMS compliance requirements and Group Medicare regulations
• Exceptional presentation and communication skills addressing both clients and retirees
• Demonstrated ability to work cross-functionally and influence without direct authority
• Ability to identify and propose innovative solutions to meet the needs of clients and retirees