CareFirst — Account Manager

Job Title:                    Account Manager II

Location:                    Washington, DC – Union Center Plaza

Career Band:             Band SMB

Job ID #:                     9462



This position provides support to the Sales Account Management Team and has two primary responsibilities:

Assist in the retention of 200+ national and local accounts in a competitive environment.  This position acts as the primary day-to-day contact for the group administrators/human resources staff at these accounts and their consultants/brokers by providing support to them and servicing their needs.

Accountable for management of the overall installation and implementation of 200+ new CareFirst, CareFirst Administrators, NCAS and National Alliance business. This includes pre-sale evaluation of prospects related to system, benefit and other operational requirements and post-sale coordination and management of internal and external functions to achieve a successful implementation.


Account Implementation: Manage account installation for 200+ new business

Ensure work related to the implementation of a new group is managed accurately, timely and meeting customer expectations.

Pre-sale evaluation of RFI and RFP responses for all lines of business including HMO, EPO, PPO, POS, HRA, HSA, Medicare Supplemental, Dental, Vision and Prescription Drug.

Present to SOCS committee, new proposed and sold business after completing system analysis and operational paperwork to initiate implementation procedures.

Conduct and/or participate in implementation meetings and provide status of group installations to the Sales Executive in New Business.

Coordinate audit of incoming account’s benefits, group structure, and eligibility, billing and reporting requirements.

Complete all paperwork related to new account implementation i.e. NAEGS, GEBS, New Group Worksheet, SOCs forms, etc.

Organize employee open enrollment for 200+ new accounts; tasks include: develop communication materials, create PowerPoint presentation, coordinate multiple meeting schedules and conduct formal employee meetings and health fairs both locally and nationally.

Coordinate the collection of membership eligibility data from multiple sources i.e. paper, DBE or other electronic medium.

Assist accounts with member service, claims and enrollment issues through implementation.

Account Renewals: participate in activities in support of 200+ account renewals

Attends weekly Sales and Operational Customer Solution Committee (SOCS) meetings to present account benefit changes, contract changes, etc. to ensure all areas of the company are aware of potential impact of these changes.

Coordinates and facilitates open enrollment meetings and health fairs, which includes but is not limited to, reviewing customized open enrollment and promotional literature and ensuring that these materials are ordered and shipped in a timely manner to appropriate locations.

Reviews benefit contracts (often multiple contracts due to multi-option account offerings and various benefit combinations for groups/sub-groups of the account) to ensure the accuracy of the contracts, e.g. that the benefits stated in the contract reflect those on the applicable platform(s); delivers contracts to the account/broker and serves as first-level contact for contract inquiries from the account/broker.

Project Management: Provide Expert level and detailed Project Management oversight for 200+ account activity

Develop and maintain detailed project plans for account service, renewal or installation related activities

Plan, manage, track and bring to successful completion all service aspects during the account’s lifecycle

Manage timelines for producing results according to predetermined schedule and manage resources accordingly

Provide accountability and oversight for multiple tasks/projects simultaneously harnessing various company resources to accomplish multifunctional tasks

Customer Facing Liaison: act as point of contact in partnership with Account Management to support group activity

Relationship building

Acts as liaison between the account and all areas of CareFirst including implementation, enrollment, billing, service, claims, contracting, operations technical support, etc.  Responsible for timely resolution of complex issues which cannot or have not been resolved through normal channels, including but not limited to, handling irate group administrator calls, executive inquiries, etc.

Establish and maintain relationships at multiple levels with clients, consultants, brokers and other BlueCross BlueShield plans through the use of consultative skills and analysis of account needs/service requirements

Training/Development: Work to train and develop internally and externally

Always seeking knowledge

Assists with training and development of internal and external clients and associates as well as consultants/brokers.

Health Care Reform, new products, Legislative issues



A Bachelor’s degree or equivalent experience in health insurance/managed care industries.  The incumbent should have a thorough knowledge of large group products and an understanding of the Nasco, Facets and LuminX claims systems. The incumbent must have knowledge of national account health delivery requirements.  Must be able to handle large scale projects or be experienced with the skills required to handle Projects and manage multiple tasks/priorities at the same time.  Effective Relationship building skills/customer service skills required.  Ability to handle/manage in a fast passed changing environment required.  Minimum of 3 years of Sales support experience or equivalent is required.

A current health and life license for the appropriate jurisdiction(s) is required or must obtain a license within 90 days of hire




The qualified applicant must possess proven and effective interpersonal/ relationship skills.  The incumbent must have the proven ability to demonstrate good instincts and make solid business judgments.  Additional requirements include negotiation skills, excellent written and verbal communication skills, excellent group presentation skills and personal computer skills. The ability to collaborate with all areas of the company and set priorities and goals.


The employee is primarily seated while performing the duties of the position. Walking is frequently required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The employee must frequently talk and hear.  Weights of up to 40 pounds are lifted.

Department:  Commercial Accounts (200-999)

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information

Actual salary will be based on relevant job experience and work history.

Please visit our website to apply:

Please apply before:  February 9, 2017

Must be eligible to work in the U.S. without Sponsorship




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