Provides strategic planning and account management for large accounts
Directs and manages the administration of contractual requirements and obligations
Manages the new and renewal implementation process for accounts
Interfaces with operations to ensure smooth delivery of services
Maintains ongoing account relationships at multiple levels throughout the customer's organization
Makes recommendations for improvements to meet customers’ expectations
Develops implementation processes and manages reporting processes to ensure client retention and high levels of account satisfaction
Provides both on-site and off-site account management, including interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues
Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client
Coordinates open enrollment meetings, renewal process and training sessions
Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements
Provides guidance or expertise to less experienced account service managers
Makes routine account visits to attend client meetings as necessary
Requirements
Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship
A sales license may be required
Experience working in the managed care/healthcare insurance industry most notably in pharmacy benefits; PBM experience strongly preferred
Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability are highly preferred
Proven ability in collaborating with cross-functional teams and coordinating efforts towards common goals are strongly preferred
Experience interacting confidently with senior management and executive level stakeholders
Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred
Proficient with Microsoft Office products, MS Teams, CRM tools and Salesforce highly preferred
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