Manager, Senior Health Services Key Accounts

<strong>At Emergent Holdings, we&rsquo;re creating an innovative environment where our employees belong authentically, contribute meaningfully, and thrive intentionally &mdash; both personally and professionally.</strong>

Southfield, USA

Emergent Holdings

<p class="p1"><strong>Emergent Holdings is driven by a singular goal &mdash; improving the health and safety of our customers and our communities. How do we do that? We create innovative insurance products, technology solutions, and services to support our key stakeholders &mdash; individuals, employers, providers, and strategic partners &mdash; improving the health and safety of the people and places we serve.</strong></p>

keywords: position summary,planning,teamwork,quality assurance,communication,support,sales,skills,education,experience,knowledge,certification,license

Mid-level Manager

Competitive Compensation and Benefits Package

Overview: The Manager will serve as the day-to-day contact to ensure routine service and operational needs are met, proactively working to avert problems, and eliminating barriers to success. The position is responsible for the management of marketing, administrative, and service activities for a Key Account Customer/s to meet the growth, retention, membership, and service goals for group product lines of BCBSM and BCN Senior Health Services. This position provides effective and efficient solutions to complex business problems with the delivery of key presentations/concepts, business reviews, and business development recommendations. This position&rsquo;s responsibilities include maintaining effective customer service and relations with the Key Account Customer/s, consultants, Health Plan Business division, vendors, partners, and others to ensure that corporate management is informed of the communities&rsquo; attitude toward BCBSM and BCN as a health insurer, as well as other information that is important to the development of effective sales, service, and marketing strategies. This role is also responsible for strategizing, innovating, analyzing, planning, organizing, budgeting, reporting, identifying equipment needs, and other functions that are required to maintain and operate an efficient and effective department.
Responsibilities: <ul> <li>Plans, organizes, and directs activities of an assigned business area, including, but not limited to, planning, training, motivation, staff development, staff selection, and communication.</li> <li>Works collaboratively with Blue Cross Blue Shield of Michigan enterprise staff that is responsible to retain and increase BCBSM MA group and BCN Medicare Advantage membership across all business segments for the Key Account Customer/sin support of business unit sales and marketing goals and objectives.</li> <li>Works collaboratively across multiple functional areas to research and resolve customer inquiries, leading to a problem-solving process while representing the voice of the customer within the organization.</li> <li>Responsible for delivering exemplary customer service or effective/efficient support (i.e. marketing strategies, communication materials, campaigns, etc.) from the group, including responding to inquiries which may include questions on products, programs, rulings, claims, and membership processing, as well as administrative questions that directly result in the retention of group business.</li> <li>Provides the oversight of all member communications including call centers and communication strategies and tactics including all of MA services. Maintains and promotes quality relationships with internal and external customers.</li> <li>Compiles and analyzes statistics and prepares activity-related reports, manpower needs, and inventories and monitors all workflows within the unit.</li> <li>Leads and participates in workgroups and task forces to complete special assignments and projects.</li> <li>Resolves customer inquiries resulting from jeopardy situations, which may include external service calls with the MA Sales Consultant and meeting the decision-maker, labor leader, or other key contacts to discuss servicing issues.</li> <li>Coordinates and sets priorities that maintain continuity in accomplishing the sales and membership growth goals set for the department.</li> <li>Recommends processes to control supply expenditures and promotes efficient use of resources.</li> <li>Participates in the development of the annual departmental budget, monitors budget, and identifies budget discrepancies.&nbsp; Researches cause and make recommendations.</li> <li>Responsible for balancing workload to optimize the effectiveness of the department.</li> </ul>
Requirements: <p><strong>EDUCATION:</strong></p> <p>Bachelor&rsquo;s degree in Business Administration, Health Care Administration, Marketing, or a related field.&nbsp; &nbsp;A Master&rsquo;s degree in a related field is preferred.&nbsp; A relevant combination of education and experience may be considered in lieu of a degree.&nbsp; A valid and unrestricted driver&rsquo;s license is required.&nbsp; &nbsp;&nbsp;Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp; Certification or progress toward certification is highly preferred and encouraged.<br /><br /></p> <p><strong>EXPERIENCE:</strong></p> <p>Seven years&rsquo; experience of progressive responsibility in a business operations environment with demonstrated technical Medicare Advantage knowledge that provides the necessary knowledge, skills, and abilities required.&nbsp; Three years of supervisory or lead experience in business required.&nbsp; Bilingual skills preferred.<br /><br /></p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Excellent analytical, organizational, planning, verbal, and written communication skills required.</li> <li>Proficient in work that involves analysis, organization, planning, presentation development, problem resolution, sales, strategy, and innovation.</li> <li>Knowledge of BCBSM and BCN Medicare Advantage products, programs, underwriting rules, membership and billing procedures, open enrollment processes, rating methodologies, rate renewals, and agent distribution systems to effectively manage staff are preferred</li> <li>Must be self-motivated and have the ability to work well under pressure.</li> <li>Ability to effectively present information and respond to questions from internal and external contacts at all levels of the organization.</li> <li>Ability to read, analyze, write, and develop communications (i.e. white papers, strategy decks, etc.)&nbsp; or reports as required by leadership.</li> <li>Proficient in current industry standard PC applications and systems.</li> <li>Extensive knowledge of operations.</li> <li>Must demonstrate leadership ability and team building skills to effectively supervise professional and non-professional staff and interact with all levels of management.</li> <li>Ability to work with and empower others on a collaborative basis to ensure success of unit team.</li> <li>Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques.</li> <li>Ability to effectively present budgetary and/or cost information, and respond to questions as appropriate.</li> <li>Ability to establish workflows, manage multiple projects, and meet necessary deadlines.</li> </ul>