Account Services Representative - Premier, Consultant

Blue Shield of California

California

On-site

USD 90,000 - 144,000

Full time

5 days ago
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Job summary

Blue Shield of California seeks a Senior Account Manager for Premier Accounts in California. You will liaison between customers, consultants, account teams and operations, managing key deliverables for large, multi-site employer groups and supporting reporting to HR staff.

Role emphasizes relationships, project execution, and continuous improvement in healthcare services; leadership development is highlighted in our model and growth opportunities are offered.

Qualifications

  • Bachelor's degree or high school diploma with 4 years of additional relevant experience in lieu of a degree.
  • 7 years of prior relevant experience required.
  • Active Accident & Health license with CA Department of Insurance or ability to acquire within 90 days.
  • Valid California driver's license and proof of insurance.
  • Experience with data analytics tools including MS Office, SharePoint and Teams.
  • Ability to explain complex concepts to diverse audiences including executives and HR staff.
  • Familiarity with formal project management strategies is preferred.

Responsibilities

  • Maintain robust stakeholder relationships with clients’ internal operations staff such as HR/Benefits.
  • Manage large-scale, complex client projects with multiple stakeholders.
  • Develop project charters, integrated plans, resource and risk management artifacts.
  • Define and track milestones with an integrated delivery plan for client projects.
  • Facilitate readiness activities across business, technical and operational areas.
  • Identify client issues, create action plans, and deliver required products/solutions.
  • Track client issues with agendas and meeting notes; support client reporting needs.
  • Keep abreast of healthcare market developments and their impact on benefits.
  • Collaborate with internal groups like Claims, IT, Data Analytics, and Medical Care.

Skills

Communication skills
Public speaking
Project management

Education

Bachelor's degree or High School Diploma/GED

Tools

MS Office Suite
SharePoint
Teams

Job description

Your Role

Premier Accounts team manages all group business with 3,000 or more employees, with nearly 1 million total members. Our strategy to win in the market is to understand and meet the needs of commercial/national public‑sector employers, labor trusts, and their consultants in a way that exceeds their expectations by providing easy, understandable interactions and affordable choices through efficient use of premium dollars to establish Blue Shield as the preferred choice in health plans. Reporting to the Senior Manager, Account Service, you will be an integral part of the account management team, serving as a liaison between customers/consultants, the account teams and the internal operations staff for the plan. You will be responsible managing key project deliverables for a complex, multi‑sited employer group, supporting any technical & operational process improvements and supporting customer reporting with key informational updates to account teams and the HR staff directly.

Job Description

Premier Accounts team manages all group business with 3,000 or more employees, with nearly 1 million total members. Our strategy to win in the market is to understand and meet the needs of commercial/national public‑sector employers, labor trusts, and their consultants in a way that exceeds their expectations by providing easy, understandable interactions and affordable choices through efficient use of premium dollars to establish Blue Shield as the preferred choice in health plans. Reporting to the Senior Manager, Account Service, you will be an integral part of the account management team, serving as a liaison between customers/consultants, the account teams and the internal operations staff for the plan. You will be responsible managing key project deliverables for a complex, multi‑sited employer group, supporting any technical & operational process improvements and supporting customer reporting with key informational updates to account teams and the HR staff directly. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high‑performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

In this role, you will:

  • Maintain robust stakeholder relationships and build strong relationships with clients’ internal operations staff (e.g. HR/Benefits staff)
  • Manage large‑scale, complex client projects that involve multiple internal and external stakeholders
  • Develop project charters, integrated project plan, resource plan, risk management plan, test plan and related project management artifacts for client‑driven projects
  • Define and track project milestones while developing, maintaining, and reporting on an overall integrated delivery plan for critical client‑specific projects
  • Facilitate operational readiness (business, technical and operational) activities throughout the lifecycle of client initiatives including change management activities to support readiness
  • Determine key client issues, develop effective action plans, and implement delivery of products or solutions requested by the client
  • Demonstrate a clear and organized method of tracking client issues including maintaining agendas and meeting notes for regular client check‑in calls; support requests, pull, review and distribution of client reports
  • Maintain a good understanding of upcoming developments in the healthcare market (healthcare reform, state and local healthcare legislation, new entrants, customer need shifts) and understand how they may impact client’s benefit offerings and member eligibility
  • Work collaboratively with internal functional groups including but not limited to: Claims Operations, IT infrastructure, Network Management, Data Analytics, Medical Care Solutions and others
Qualifications
Your Knowledge and Experience
  • Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
  • Requires 7 years of prior relevant experience
  • Requires a current active Accident & Health Agent or Sickness and Life license with California Department of Insurance or the ability to acquire within the first 90 days of employment to maintain employment
  • Requires valid California driver's license and proof of insurance
  • Requires experience with data analytics tools including strong MS Office Suite, SharePoint and Teams skills
  • Requires experience in explaining complex concepts, ideas, and solutions for processes, products, and capabilities to a wide range of audiences including internal operations leaders, C‑Suite & HR decision‑makers, and external vendor partners, when applicable
  • Some familiarity with formal project management strategies is preferred
  • Knowledge of Blue Shield of California (BSC) or prior healthcare payer experience is preferred
About Us
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. 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 achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community‑minded companies in the United States by Points of Light. 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 listen and communicate effectively, showing empathy by understanding others' perspectives.
  • 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
  • For most teams, this means coming into the office two days per week.
  • Employees living more than 50 miles from an office location, out of state employees, and employees in certain member‑facing roles should work with their manager to determine in‑office time based on business need.
  • 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.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.

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.

JOB INFO
  • Job Identification : 20262078
  • Job Category : Sales
  • Posting Date : 2026-10-13T23:24:39+00:00
  • Job Schedule : Full time
  • Locations :
  • Oakland, CA, United States
  • CA, United States
  • Long Beach, CA, United States
  • El Dorado Hills, CA, United States
  • Lodi, CA, United States
  • Rancho Cordova, CA, United States
  • Redding, CA, United States
  • San Diego, CA, United States
  • Woodland Hills, CA, United States
  • Pay Range for California : $90200.00 to $144320.00
  • Pay Range for Bay Area : $101680.00 to $162688.00
  • 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 experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.
  • Role can be filled by a candidate requiring sponsorship : No
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