Key Client Support Specialist

Hc; Town of Newark (WI); On-site; USD 120,000 - 170,000; Full time

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced professional to support account management teams handling SHBP relationships. The role focuses on building strategic relationships with SHBP stakeholders, optimizing billing operations, and driving profitability and growth for the book of business.

Responsibilities include forecasting, plan-design support, vendor integrations, and cross-functional liaison to strengthen client management and market presence.

Qualifications

• Bachelor's degree from an accredited college or university.
• Minimum 10 years of experience in group health.
• Experience in a fast-paced, performance-driven environment.
• Knowledge of complex billing operations preferred.

Responsibilities

• Provide subject matter support to account management in underwriting, ancillary products, benefit design, and market dynamics.
• Serve as the subject matter expert for billing operations, ensuring accurate billing and timely resolution of inquiries.
• Maintain accurate and updated billing master roster.
• Develop and maintain forecasts (monthly, quarterly, yearly) and identify trends, variances, risks, and opportunities impacting financial performance.
• Support plan design implementations and translate State legislation into business requirements.
• Act as the business lead for vendor integrations servicing State members.
• Liaise with account management and other support areas impacting client management.
• Manage database of individual stakeholders within the market and their connections.
• Assist in developing strategic plans to retain and grow SHBP.
• Train newly hired staff on the SHBP Market.

Skills

Account management

Billing operations

Forecasting

Vendor integrations

Stakeholder relations

Education

Bachelor's degree

Tools

Windows-based software

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

About the Role

Accountable for providing subject matter support to the account management teams that manage SHBP, with a focus on key strategic relationships within the market. This position will focus on building and maintaining strategic relationships with the various SHBP stakeholders, as well as supporting others within the team to do so. This position is indirectly responsible for increasing the profitability of the book of business and expanding membership and revenue.

What You’ll Do

• Provides subject matter support to the account management teams in areas related to underwriting, ancillary products, benefit design, and market-specific dynamics.
• Serve as the subject matter expert for billing operations, ensuring accurate billing administration and timely resolution of billing inquiries and discrepancies.
• Maintain accurate and updated billing master roster.
• Develop and maintain monthly, quarterly, and annual forecasts, identifying trends, variances, risks, and opportunities impacting financial performance.
• Support of plan design implementations, ensuring accurate translation of State legislation into business requirements.
• Act as the business lead for vendor integrations serving State members.
• Serves as a liaison for account management team and other support areas within the organization that impact client management.
• Manage database of individual stakeholders within the market and their connections.
• Provides assistance in developing strategic business plan to retain and grow within the SHBP Plan.
• Train newly hired staff on the unique SHBP Market.

What You Bring

Education/Experience:

• Prefers Bachelors degree from an accredited college or university.
• Requires a minimum of 10 years of experience in group health.
• Experience managing in a fast paced, performance driven environment necessary.
• Knowledge of complex billing operations preferred

Knowledge:

• Must be proficient in the use of personal computers and supporting software in a Windows based environment.
• Knowledge of health insurance plans, health care delivery systems, and claim operations.
• Knowledge and understanding