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Assistant Account Manager

Company: GMMI, Inc.
Location: Lehigh Acres
Posted on: October 22, 2019

Job Description:

Job Summary:Reports to Chief Implementation Officer ("CIO"), who also acts as the Executive Account Manager, FEP. Assists with managing assigned existing client BCBSA. Supports the primary business contact for the client and, jointly with CIO is responsible for client satisfaction. Is expected to consistently provide excellent customer service to account, as well as represent client needs and goals within the organization to ensure quality. Works closely with--CIO, Account Directors and other Account Managers, Account Assistants and other Department Managers to coordinate the daily work and procedures on assigned clients.Principal Duties and Responsibilities: ------------------Works closely and supports CIO with the daily management of the client (BCBSA) with any important issues/projects on a need by need basis------------------Must understand the contractual terms of the BCBSA agreement in detail------------------Creates Monthly invoice to the client based on PMPM stats and Case Management & Medical Evacuations------------------Creates B-ITNs for monthly invoice ------------------Supports CIO with creation of monthly KPI/SLA report and must be comfortable to send report during superior's absence------------------Supports CIO with creating of QBR and OPM reports must be comfortable to send assigned reports during superior's absence------------------Must report any issues or problems to superior that may affect the contractual performance goals------------------Responsible for the timely resolution of assigned client inquiries such as general inquiries, OPM inquiries or any special data projects------------------Reports daily claims count submitted to client------------------Manages FEPDirect staff access list and HIPAA training verifications------------------In collaboration with Superior, works with other Departments Managers to provide support and guidance on escalating member issues ------------------Must update client specific procedures in collaboration with supervisor------------------Must travel to client events, such as vendor events, client meetings or training meetings------------------Supports CIO with the continued education process of the client including client training events------------------Must understand client benefit models and provide guidance and support to AD if clarification on benefits/issues is needed ------------------Ensures that supervisor is advised of all issues requiring change or other corrective action------------------Ensures that supervisor is updated daily on all issues that may affect the data integrity of the client------------------Will include supervisor in all meetings that effect a change in procedures of change in KPI performance directive------------------With prior approval of superior, may work on special projects that require attention/completion, without compromising the ability to perform core daily function------------------If project is assigned, must provide daily/weekly update on current projects and include superior in all status updates of project------------------If project is assigned, must provide a written project plan including projected time line, daily/weekly progress report and SOP/SOW------------------Understands that the priority of this position is focused on supporting the CIO with the daily management of the client. This is not a project management position------------------Other duties as assigned by ManagementRequired / Desired Knowledge, Experiences and Skills:----------------------------Proficient in the Company's operating system & GMMI procedures (ex: VCC)------------------Must have experience handling medical claims in the US or foreign medical claims------------------Must have knowledge of US healthcare insurance benefits policies for benefits and coverage; ability to interpret said policiesProficient in client's product lines. Must understand the contractual terms of the BCBSA agreement in detailExcellent verbal and written communication skillsExcellent presentation skills in multiple mediumsMust be capable of managing multiple tasks often with competing deadlinesDetail oriented - excellent organizational, analytical and planning skills Strong international background and research skillsRelationship management skills - Talks and acts with customer service in mind. Builds relationships with senior decision makers in accountsExcellent interpersonal skills necessary to interact positively with clients, providers and professional staff. Must be able to represent the organization in a professional and knowledgeable mannerMust be proficient with technology - all Office software programsBasic knowledge on claims processingKnows GMMI Online and client specific features for assigned clientsEducation/Certifications:------------------High School Diploma or Equivalent (GED) requiredPhysical Working Environment:--While performing the duties of this job, the employee is required to stand; walk; sit for long periods of time; use of hands to grasp, handle, or feel; reach with hands and arms; finger dexterity; talk; hear. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.The above statements are intended to describe the general nature of work being performed by people assigned to this classification.--They are not to be construed as an exhaustive list of all responsibilities, duties and skills required of employees so classified.--GMMI is an Equal Opportunity Employer--M/F/Disability/Veteran

Keywords: GMMI, Inc., Fort Lauderdale , Assistant Account Manager, Executive , Lehigh Acres, Florida

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