Dir, Account Services SHBP

Job title: Dir, Account Services SHBP

Company: Horizon Blue Cross Blue Shield of New Jersey

Job description: Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or DelawareJob Summary: The role will help to ensure Horizon BCBSNJ’s ability to strengthen and maintain strong relationships with the leadership of New Jersey State Health Benefits program which includes the State’s Division of Pensions and Benefits (DPB) and the Treasury department. This role will be responsible for execution of strategic plans for SHBP account and partner management. This role will advocate and be the point of escalation for assigned SHBP/SEHBP programs; collaborate with State and Point solution vendor leadership to advocate for products and capabilities that support mutual growth and enable market competitive solutions; while soliciting client feedback related to products, financials and contracts and establish an internal framework to respond to suggestions or inquiries.

  • Oversee key performance and financial guarantees and evaluate Horizon’s performance against assigned client contracts; proactively respond to, and remediate any identified gaps or risks; understand nuances and identify further opportunity to drive consistency and improvement.
  • Own and lead client meetings as aligned to the account management principles, including but not limited to: identifying meeting objectives and participants, ensuring adequate preparation and presentation materials, and working across Horizon’s senior leadership to ensure appropriate follow through and documentation;
  • Oversee and ensure Cost of Care owners are accountable for targets as well adoption of programs that can improve targets deemed ‘at risk’.
  • Partner with sales and account management teams to promote Horizons offerings to plan members
  • Support senior leadership with the development, negotiation and compliance of State bids / REFPs / contracts; proactively analyze contract language and/or requirements and collaborate with internal stakeholders to implement a renewal action plan, standardize contract language where appropriate, and mitigate conflicting terms; review and manage Performance Guarantees and/or Financial Guarantees on behalf of Horizon and the State to minimize financial risk.
  • Oversee data analytics and reporting function for SHBP Account working with analytics, underwriting and actuarial leads. Build and maintain strong relationship with leadership and staff at the State within the DPB and Treasury department.
  • Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff.

Additional Job DescriptionEducation/Experience

  • Prefers Bachelor’s degree from an accredited college or university.
  • Requires a demonstrated success in positions requiring consultative skills and the ability to influence those at senior levels regarding strategy, new concepts or approaches to achieving improved results.
  • Requires a minimum of 8 years managing staff.
  • Requires a minimum of 10 years of managing external/internal stakeholders
  • Requires a minimum of 15 years work experience, including a minimum of 8 years in the Group Health insurance experience or the health care industry with a proven record of positive client relationships.


  • Requires experience in successfully leading cross functional, matrixed teams to achieve long-term objectives.
  • Strong analytical skills, including the ability to analyze large data sets, identify insights, and leverage these insights into business decisions.
  • Project leadership/management experience a plus.
  • Must be proficient in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint).

Skills and Abilities

  • Must be results-driven.
  • Exhibits an energetic, inquisitive, positive approach to problem solving.
  • Solid interpersonal, written, and verbal communication skills required.
  • Self-motivated, highly organized individual with strong attention to detail
  • Proven ability to communicate effectively to a wide range of audiences – including executives, department heads and tough customers
  • Demonstrated ability to make decisions with little need for direction and to function effectively as a team-oriented, self-starter working across cross-functional lines.
  • Proven ability to ask probing questions and obtain thorough and relevant information.
  • Must demonstrate the ability to learn quickly and apply learning to new situations. Must exhibit flexibility to change as appropriate.
  • Proven ability to influence without authority.

The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.Salary Range: $133,900 – $182,805​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 PlansGenerous PTOIncentive PlansWellness ProgramsPaid Volunteer Time OffTuition ReimbursementHorizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Expected salary: $133900 – 182805 per year

Location: Newark, NJ

Job date: Wed, 20 Mar 2024 07:10:22 GMT

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