Horizon Blue Cross & Blue Shield

Account Manager IV (National Large Group)

Horizon Blue Cross & Blue Shield$125K — $151K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • High School Diploma or GED required; Bachelor’s degree preferred or equivalent experience.
  • At least 10 years of account management experience with a focus on strategic client relationship management.
  • Experience in the National Large Group markets preferred.
  • Proficient in analyzing service performance and contractual obligations.
  • Knowledge of group health product lines and familiarity with Horizon BCBSNJ preferred.
  • New Jersey State Health/Life License required.

Responsibilities

  • Manage and negotiate contract renewals to support account retention and growth.
  • Assess client needs and promote additional product lines as appropriate.
  • Serve as the day-to-day lead for assigned accounts, maintaining consultative relationships.
  • Represent Horizon at trustee and board meetings, ensuring client interests are managed.
  • Proactively address and escalate client issues to ensure timely resolutions.
  • Collaborate with internal teams to deliver client-specific reporting and insights.
  • Conduct workshops on enrollment and healthcare industry regulations.

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous paid time off (PTO)
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
Full Job Description

About the Role

This position is responsible for retaining existing accounts and selling additional product lines, where appropriate and profitable, within the National market segment. The Account Manager for the National Large Group market serves as the primary relationship manager for assigned to national accounts. This role is responsible for account retention, operational excellence, and strategic support across complex national groups. The Account Manager acts as a trusted advisor to the client and consultants while coordinating across internal Horizon teams to ensure service delivery, compliance, and performance expectations are met.

What You'll Do

  • Manage contract renewals, including negotiating terms and approving contract modifications outside standard guidelines to support retention and growth.

  • Assess client needs and recommend appropriate products, including identifying opportunities to sell additional lines of business.

  • Serve as the day-to-day account lead, maintaining consultative relationships with administrators, TPAs, brokers, and consultants.

  • Represent Horizon at trustee meetings, board meetings, and client requested forums.

  • Proactively manage client expectations and escalate issues as appropriate to ensure timely resolution.

  • 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 Service, Claims, Provider Contracting, Network, Finance, Compliance, IT, and Vendor partners 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 to make binding financial, operational, and service-related decisions.

  • Ensure accounts and brokers are informed of applicable legislative and regulatory updates and their impact.

  • Perform additional duties as assigned by management.

What You Bring

Education/Experience:

  • 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, including strategic client relationship management, contract negotiation, and renewal optimization, preferably within the health insurance industry.

  • Sales and/or Account Management experience within National Large Group markets strongly preferred.

  • Experience conducting service performance, contractual obligations, and performance guarantees where applicable.

  • Experience with renewal strategy, including plan design changes, pricing discussions (in partnership with Sales), and benefit modifications


Additional licensing, certifications, registrations:

  • Requires a New Jersey State Health/Life License.


Knowledge:

  • Advanced proficiency in personal computers and Windows-based software, including Microsoft Word, Excel, and PowerPoint; familiarity with intranet and internet applications.

  • Knowledge of National/Large group segments.

  • Understanding of group health product lines, including Managed Care.

  • Knowledge of rating processes and policy renewal practices.

  • Preferred knowledge of Horizon BCBSNJ products, underwriting policies, enrollment, billing, and claims processing procedures


Skills and Abilities:

  • Strong negotiation skills.

  • Ability to tailor communication and messaging to various audiences.

  • Ability to effectively leverage limited engagement opportunities with key decision-makers.

  • Capability to communicate complex concepts in a clear, concise manner.

  • Excellent verbal and written communication skills.

  • Public speaking and presentation expertise.

  • Proven relationship-building skills.

  • Ability to manage partner vendor relationships (e.g., wellness, IT, clinical).

  • Strong collaboration with internal stakeholders, including government affairs, service, legal, and foundation teams.

Travel:

  • Travel throughout the United States is required. Majority of travel will be throughout the state of NJ but there will be times where out of state travel is required.

Salary Range:

$125,100 - $151,095

This position is eligible for sales incentive compensation in addition to base pay.  ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

  • Comprehensive health benefits (Medical/Dental/Vision)

  • Retirement Plans

  • Generous PTO

  • Incentive Plans

  • Wellness Programs

  • Paid Volunteer Time Off

  • Tuition Reimbursement

About Horizon Blue Cross & Blue Shield

Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that provides coverage to individuals and businesses in New Jersey. The company offers a variety of health plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. Horizon BCBSNJ also provides wellness programs and resources to help members manage their health. The company is committed to improving the health of the communities it serves and has partnered with local organizations to address health disparities and promote healthy living.
Learn more about Horizon Blue Cross & Blue Shield
Size
5,500 employees
Industry

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