Medicare Account Manager - Non-Sales, Consultant

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We’re excited to share Blue Shield of California has received awards and recognition for â€" LGBT diversity, quality improvement, most influential women in corporate America, Bay Area’s top companies in volunteering & giving, and one of the world’s most ethical companies. Here at Blue Shield of California, we’re striving to make a positive change across our industry and the communities we live in â€" Join us!


Job Summary

The Medicare Account Manager - Non-Sales - Consultant is responsible for managing the organization's relationship with clients of strategic importance. Activities include protecting existing revenue streams by ensuring a high level of customer satisfaction; identifying new revenue opportunities; cross-selling existing Medicare products and introducing new Medicare products to the client; and monitoring market and economic conditions that may affect the client's operations and purchasing decisions.

  • Serves as the 'go-to AM' for Medicare product knowledge and shares knowledge with peers; can quantify and qualify the advantage of BSCA Medicare products over those of competitors.
  • Medicare: Is known to be a subject matter expert with product knowledge and shares his/her knowledge with the team. can quantify and qualify the advantage of BSC Medicare products over those of competitors.
  • Maintains a mastery of the Medicare marketplace; has deep understanding of healthcare provider networks and customer data. Strategically utilizes understanding of market trends to strengthen the BSCA Medicare value proposition, linking and aligning market insights to customer priorities.
  • Facilitates all meeting types, including finalist meetings with executive level audiences. Anticipates client questions and can provide in-depth responses.
  • Has access to and builds relationships with key executive-level decision makers, understands their priorities, and builds a trusted advisor relationship Deeply understands client needs, political environment, and long-term vision.
  • Fully leverages available resources to complete back-office tasks and solve problems. Mastery understanding of BSC tools and systems. Proactively recommends tool improvements. Must demonstrate understanding of the system flow.
  • Develops and maintains long-term growth strategies founded on deep client and industry knowledge.
  • Fosters deep working relationships with key contacts in other functional groups. Leverages relationships to quickly take care of needs.
  • Can influence functional groups to act and own back-office tasks and solve problems. Escalates issues to appropriate manager to drive accountability. Identifies process improvement opportunities and participates in process improvement work groups.
  • Medicare: Confident asking for more business. Deeply understands factors at play e.g., stickiness, switching costs, client value drivers. Strategically chooses when to concede vs. hold firm (high complexity). Is able to think like an underwriter.


Knowledge and Experience
  • Bachelor's Degree in Business Administration, Marketing or related field and Seven (7) years' experience in insurance industry OR a combination of academic education, professional training, or work experience, which demonstrates the ability to perform the duties of the position.
  • Master's degree preferred, but not required.
  • Account Management experience within the Health Insurance field, or Medicare benefits knowledge related to configuration and implementation.
  • Anticipate future needs and opportunities and incorporating them in current planning.
  • Experience in development of training materials and delivery of training.
  • Proven track record of understanding the customer and their underlying needs.
  • Anticipate barriers to implementation of strategic plans.
  • Exceptional communication skills.
  • Has a highly organized, self-directed approach to work.

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
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External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.EEO Policy