Account Manager – IV
NJM Insurance Group
full-time
Posted on:
Location Type: Remote
Location: New Jersey • United States
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Salary
💰 $125,100 - $151,095 per year
About the role
- 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
- 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
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
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