Job DescriptionYour RoleThe CalPERS Account Management team provides strategic oversight, consultative support, and superior service to CalPERS and the employer groups (State of California, Public Agencies, and School Districts) participating in their health benefits program. The Account Services Representative, Senior will report to the Manager, CalPERS Account Management. In this role you will be collaborate with cross-functional teams and business partners in support of our CalPERS agreements. You will be responsible for maintaining robust external stakeholder relationships, while establishing effective working relationships with internal functional groups.
ResponsibilitiesYour WorkIn this role, you will:
- Tailor value proposition during open enrollment / client meetings based on their specific value drivers using solid understanding of BSC products
- Use thorough understanding of upcoming developments in the healthcare market (healthcare reform, state and local healthcare legislation, new entrants, customer need shifts); understand how they may impact competitors' benefit offering and member eligibility
- Facilitate open enrollment / admin / health fair meetings; anticipate client and member questions and can provide in-depth responses
- Leverage available BSC information (i.e. wellness flyers, other marketing materials) for meetings
- Appropriately leverage available resources to complete back-office tasks and solve problems
- Support day-to-day client and internal stakeholder activities
- Manage client concerns and issues, and serve as liaison between Blue Shield and the client to ensures resolution of claims and service problems
- Support the CalPERS Account Management team, conduct administrative meetings with external customers, documenting meeting discussion and outcomes and tracking next steps
- Develop special handling procedures for CalPERS members with unique service requirements
- Trains client on specific billing, claims and service processes and procedures
QualificationsYour Knowledge and Experience- Requires a bachelor's degree or equivalent experience
- Requires at least 4 years related experience
- Ability to work cooperatively and strategically in a team environment
- Ability to prioritize and manage work and trade-offs against critical project timelines in a fast-paced environment
- Excellent verbal and written communication, including an ability to communicate effectively to a variety of audiences
- Account and project management skills preferred
- Life Agent License with California Department of Insurance preferred
- Valid California driver's license, and proof of insurance preferred
Pay Range:The pay range for this role is: $ 77990.00 to $ 116930.00 for California.
Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
About the TeamBlue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values: - Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
- Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
- Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model: At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
- Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:
- Member-facing and approved out-of-state roles remain remote.
- Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
- For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
- On-Site: Work from a business unit-approved office an average of four (4) or more days a week.
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.
Please click here for further physical requirement detail.
Equal Employment Opportunity: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.
