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NJM Insurance Group

Account Manager – IV

NJM Insurance Group

Account Manager IV managing labor union health accounts for Horizon Blue Cross Blue Shield. Responsible for retention, contract negotiation, and strategic support across labor groups.

Posted 4/16/2026full-timeRemote • New Jersey • 🇺🇸 United StatesSeniorLead💰 $125,100 - $151,095 per yearWebsite

About the role

Key responsibilities & impact
  • Manage contract renewals, including negotiating terms and approving contract modifications outside standard guidelines
  • Assess client needs and recommend appropriate products
  • Serve as the day-to-day account lead, maintaining consultative relationships
  • Represent Horizon at trustee meetings, board meetings, and client requested forums
  • Proactively manage client expectations and escalate issues as appropriate
  • Partner with Data & Reporting teams to deliver client specific reporting and performance insights
  • Experience with ASO groups both Full Administration and Shared Administration
  • Coordinate internally with various teams to resolve complex issues
  • Develop and conduct client and group workshops related to enrollment, claims procedures, and healthcare industry regulations
  • Analyze relevant factors and outcomes for decision making
  • Ensure accounts and brokers are informed of applicable legislative and regulatory updates
  • Perform additional duties as assigned by management

Requirements

What you’ll need
  • High School Diploma or GED required
  • Bachelor’s degree preferred, or equivalent relevant experience in lieu of a degree
  • Minimum of ten (10) years of account management experience with increasing responsibility
  • Sales and/or Account Management experience within Labor and Public Sector markets strongly preferred
  • Requires a New Jersey State Health/Life License
  • Advanced proficiency in Microsoft Word, Excel, and PowerPoint
  • Knowledge of union structures, Shared Administration/TPA models, and collective bargaining agreements
  • Understanding of group health product lines, including Managed Care
  • Preferred knowledge of Horizon BCBSNJ products, underwriting policies, enrollment, billing, and claims processing procedures

Benefits

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
account managementcontract negotiationdata analysisclient reportinghealthcare regulationsclaims processingenrollment proceduresManaged CareShared AdministrationTPA models
Soft Skills
consultative relationshipsclient expectation managementissue escalationworkshop developmentcommunicationproblem-solvingteam coordinationleadershipinterpersonal skillsorganizational skills
Certifications
New Jersey State Health/Life License