Account Coordinator, PBA

Position Summary

Capital Rx is seeking a results-driven Account Coordinator to support the PBA account teams, working with Health Plan, TPA, and copay card clients. The ideal candidate will partner with account teams to enhance client satisfaction and handle day-to-day tasks.

Position Responsibilities

• Support implementation and client management teams with all day-to-day client requirements
• Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations
• Analyze incoming client requests and work with internal and external teams to complete required plan documentation
• Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
• Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
• Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
• Handle and resolve sponsor and member issues, escalating as needed
• Research and respond to claims processing and system configuration inquiries
• Collaborate cross-functionally to support general client operations, as required

Required Qualifications

• Undergraduate bachelor’s degree, with record of strong academic performance or equivalent job experience
• 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare
• Track record of building trusting internal and external relationships
• Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
• Experience working with structured and unstructured data
• Proficient in Microsoft Office, SQL a bonus
• Ability to balance multiple complex projects simultaneously
• Exceptional written and verbal communication skills
• Extremely flexible, highly organized, and able to shift priorities easily
• Attention to detail & commitment to delivering high quality work product

Location

Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Salary Range

• New York, NY: $69,200—$86,500 USD
• Denver, CO: $63,200—$79,000 USD
• Charlotte, NC: $57,600—$72,000 USD