Senior Client Advisor

Description:

• Develop strong, trusting relationships with the client to ensure loyalty and retention.
• Achieve financial success of account performance by tracking margin reports, billing statement, and enrollment. Help identify areas of opportunity, and work collaboratively with BCBS departments to ensure operations and underwriting effective financial reporting.
• Help operational success by identifying areas of concern and managing cross-functional recovery and prevention initiatives in areas such as claims performance, IT implementations, care management, and customer service. They are then expected to leverage those successes across the market segment with their colleagues.
• Implement new clients as assigned; new products as sold; new member populations as acquired; and legislative requirements as delivered.
• Oversee coordination with membership, benefit set-up, contracts, service, claims, auditing, health management, provider management, Select Account, pharmacy manager, IT, outside vendors, etc.
• Manage specific projects on behalf of customers including researching, developing and negotiating solutions. Influence client to drive efficiency and profitability. Ensure accuracy of legal documents such as Summary Plan Description, benefit design agreement and exhibits.
• Primary accountability for client administrative and operational reporting. Interface with account reporting and principal account manager to analyze spending trends and draw action-oriented conclusions.
• Drive effective member communication strategy and delivery, including client collateral mailings, welcome packets, resource guides, specific member mailings, open enrollment meetings, health fairs, etc. Co-manage and drive for growth opportunities including coordination and completion of RFPs, completion of geo access, and disruption analysis. Communicate network changes and provide analysis of alternative network providers.
• Represent major and national accounts in internal work groups. Drive for resolution and advance progress for key operational performance.
• Represent the voice of the customer in communicating client expectations to internal work groups. Makes on-site presentations to existing clients to educate and inform.
• Mentor new or lower-level Client Advisors.
   

Nice To Have
 

• Bachelor's degree.
• Knowledge of Blue Cross and affiliates products.