Account Manager

Position Code: 1010

Department:  Account Management
Location: St. Louis, Missouri
Immediate Supervisor:  Carol Birk
Status: Exempt
Posted: May 19 2017

Essential Functions of Job:

• Working understanding of provider sponsored networks, contracting and credentialing processes • Trouble shooting problems with accounts to include eligibility, claims, and networks • Review and disseminate periodic client reports. Preparation of ad hoc reports, i.e., out of network vendor, claims reports, etc. • Timely and quality response to customer inquiries • Completion of special assignments that contribute to the effectiveness of the organization • Present findings on Plan performance and recommended action plans to clients and providers/networks • Collaborate with clients to develop cost containment/reduction strategies • Monitor the implementation and effectiveness of action plans/strategies through trend analysis • Facilitates quarterly client meetings • Conducts regular employer, employee, network, and provider education meetings • Maintains strong communication plan with clients and key network providers/ network partners • Manage vendor relationships on behalf of customers including PBMs, EAPs, Medical Management, and Data • Continually articulate the HealthSCOPE Benefits value proposition to customers, brokers and consultants • Keep client brokers and consultants abreast of HealthSCOPE Benefits information and client specific information • Lead the implementation of new clients and vendors to ensure day one customer satisfaction • Perform other related duties as required • Ability to report to the office

Qualifications:

• Master’s degree with emphasis in business administration, finance, healthcare management or marketing management preferred. Experience considered in lieu of degree. • Effective organizational and prioritization skills • Excellent oral and written communication skills, including giving presentations • Intermediate/Advanced knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Ability to travel at least 50% of the time • Strong Project Management Skills • Ability to respond to critical situations that may require quick intervention and problem resolution • Experience in health insurance and employee benefits preferred • Ability to effectively present information and respond to questions from managers, clients, customers, medical providers and the general public • Ability to define problems, collect data, establish facts, draw valid conclusions, and develop strategies • Capable of making a proposal and effective demonstrations to potential and existing clients

 

The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.