Company :Highmark Inc.Job Description : 

JOB SUMMARY

This job is responsible for the strategic activities related to retention and new sales in terms of profitability and membership. This includes the development and execution of the vision, sales plans, strategic objectives, policies, procedures and distribution channels that support corporate objectives. Provides leadership and direction to the division. The incumbent's main focus is on the acquisition, retention and profitability of local accounts, broker relationships and exploring new distribution channels.

ESSENTIAL RESPONSIBILITIES

Overall accountability for the Highmark DE board – Communication, Collaboration, Relationship, etc.Owning the relationship with the regulator and owning all filings, feedback and follow up related to market conduct exams, etc.Extreme awareness and influence over the regulated entity’s RBC and other public facing financial reporting (RBC, entity/enterprise  level financials )Representing Highmark on key boards (e.g., HIE, Chamber, Development, etc…)Being the face to all internal and external needs as the Highmark DE executive (e.g., media, all employee meetings, public events, etc..)Assisting with and being a thought partner on the Individual, Small Group, Senior and Medicaid P&LsEstablishing relationships with the Top 3 health system CEOs (CCHS, Bayhealth, Beebe) and being a strong partner to the Market Executive in DEStaff development and succession planningSetting culture to be consistent with corporate including complianceDevelop and implement the market sales strategy.Ensure that member and profit targets are attained.Oversee acquisition of new accounts and retain current accounts.Drive acquisition of ancillary business.Manage association and broker relationshipsProvide incentives for brokers to sell Highmark products.Explore new and alternative distribution channels for products.Build the Highmark brand in the market and/or community.Maintain appropriate mix of products and services.Manage provider relationships and explore new partnerships.Ensure local entity compliance with regulatory requirements.Report to and consult with local Board of Directors.Serve as site leader for market office(s).Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree Business Administration/Management or Health Care

Substitutions

None

Preferred

Master's Degree in Business Administration

EXPERIENCE

Required

10 years of progressively responsible Healthcare experience in Sales or supporting Health Plans7 Years in a management or leadership role

Preferred

None

LICENSES AND CERTIFICATIONS

Required

State Producer's Licenses in Accident, Health and Casualty or must be obtained within 90 days of hire

Preferred

State Producer's License in Life

SKILLS

Strong financial skills, strong planning skills, multi-year sales experience, multi-site account experience, sales management experience, broad background in sales, knowledge of general insurance principles, an understanding of indemnity and managed care productsSales management and operational experience (e.g. claims, membership)Technical experience in underwriting, care management, and time trackingSales and financial aptitude, knowledge of customer needs and market trendsExtensive knowledge of Highmark products including ancillary productsDemonstrated experience in budget management, resources management, planning skillsExcellent oral, written and presentation skills as well as conceptual and analytical skillsThe incumbent must take charge of, and accountability for, the planning and development of Regional Accounts strategies while assuring Corporate deadlines and objectives are met

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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