Manager Clinical Accounts Management Services

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Job Summary

This position is responsible for providing strategic and operational leadership for Clinical Accounts Management Services (CAMS), including oversight of client-facing Clinical Account Consultant supporting the organization’s largest National ASO clients and Sales and Account Management (SAM) teams. The Manager develops and executes departmental strategies, drives operational excellence, and ensures alignment of clinical account management initiatives with enterprise objectives and client needs. The role serves as a key liaison between executive leadership, SAM, clients, brokers, and cross-functional stakeholders to advance business goals, strengthen strategic partnerships, and enhance the delivery of clinical products and services. Accountable for talent development, succession planning, workforce management, and the cultivation of a high-performing team recognized as trusted clinical business advisors. The Manager leads complex, high-visibility initiatives, influences organizational decision-making, supports growth opportunities through finalist meetings and proposal activities, and identifies innovative solutions that improve client satisfaction, operational effectiveness, and competitive positioning. Additionally, this role partners with executive leadership to establish departmental priorities, develop scalable processes, and achieve short and long-term business objectives.

JOB REQUIREMENTS:

• Bachelor’s Degree and Registered Nurse (RN) or Licensed Master Social worker (LMSW) or Licensed Professional Counselor (LPC), or Registered Dietician with current, unrestricted, valid license in the state of operations.
• 5+ years progressive healthcare, managed care, or clinical account management experience
• 3 years’ clinical practice or behavioral counseling experience.
• 2+ years’ experience in a Clinical Account Consultant or related role with demonstrated success
• 1+ years of experience in a management/lead capacity
• Proven experience leading groups and teams to meet goals and objectives
• Understanding of the managed care industry, including relationships with brokers, clients, vendors and medical care management products and services, e.g. case management, and utilization management.
• Expert ability to build and cultivate relationships with excellent interpersonal skills and ability to collaborate effectively in a team environment.
• Experienced with data analysis and formulating recommendations.
• Proven project management expertise.
• Highly effective presenter with exceptional verbal and written communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Effective leadership of complex and high-profile department/cross functional projects.
• Expert knowledge of Medical Care Management products, health insurance industry, and competitive intelligence
• Highly developed business acumen.
• Expert PC proficiency with Microsoft Applications with an emphasis on developing PowerPoint presentations, organizing and analyzing data in Excel, managing Outlook communications and calendars and aptitude for learning new software platforms and formats.
• Ability to travel, including overnight stays.

PREFERRED JOB REQUIREMENTS:

• Advanced Degree and specialized leadership job-related certifications (MBA, Master’s in Nursing, etc.)
• Prior experience as manager/leader
• Experience in training, mentoring, and staff development

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship is not available.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.

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About HCSC

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that onlyrequests for accommodations in the application processwill be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

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Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

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