Account Manager - Healthcare Mkts (Pharmacy Benefit Management)

We are adding Account Managers (AMs) to our growing team focused on serving the Hospital and tribal entity markets along with other clients with in-house pharmacies. The Account Manager directly supports the broker consultant(s) and clients, including Human Resources and in-house pharmacy leadership and staff throughout the client life cycle. The AM desires to achieve the goals of client satisfaction and client retention. Internally, the AM supports the client through collaboration with other operational departments and has a coordinated responsibility with the SAE of building and maintaining an extremely positive relationship with our clients. This position requires extensive knowledge of the PBM industry and the in-house pharmacy landscape. Must be willing to travel up to 20%.

Responsibilities

• Client Consultation
  • Builds and grows relationships with brokers and clients by providing exceptional day-to-day support.
  • Plays a major advisory role through consultation for benefit plan and in-house pharmacy reporting needs, proactive communication, timely issue resolution, and promotion of RxBenefits and PBM services and products.
  • Prepares and delivers accurate client-requested ad-hoc and standard monthly reports.
• Client and Industry Awareness
  • Learns the client’s organizational structure, understands the client’s product/services, and stays informed of news and organizational changes.
  • Stays current on drug and PBM industry market developments.
• Interdepartmental Communication
  • Supports SAE during in-house pharmacy implementations for new and existing clients.
  • Coordinates benefit plan changes for clients with the client operations teams.
• Job Duties
  • Functions as the main point of contact for day-to-day support of HR and in-house pharmacy staff.
  • Develops and maintains effective working relationships with service partner contacts (such as analysts, underwriters, brokers & consultants, PBMs, sales, and service representatives) as well as client HR and in-house pharmacy contacts.
  • Partners with the client onboarding team to support SAE for implementations of new clients with in-house pharmacies.
  • Facilitates development and delivery of member communication deliverables as directed by the client: ad-hoc member letters, standard disruption letters, and open enrollment materials.
  • Participates in benefit fairs as requested by the client.
  • Performs quality checks of the claims adjudication, benefit documents, and internal documentation.
  • Assists SAE in recommending benefit plan changes.
  • Submits plan change requirements in coordination with SAE.
  • Researches, escalates, and coordinates resolution of client issues.
  • Maintains all required client information in the RxBenefits Sales Force system.
  • Assists with preparation of data audits.
  • Attends and participates telephonically or in person in client reviews and meetings (on a pre-determined schedule) to support SAE by documenting notes and assisting with follow-up items.
  • Sets priorities for analytical work.
  • Organizes and manages client lifecycle deliverables to meet deadlines.
  • Thinks creatively to meet client needs and solve problems.
  • Meets or exceeds team and departmental goals established by the Director/VP.
  • Participates in ongoing educational events for skill and knowledge development.
  • Attends ongoing training specific to in-house pharmacy processes and procedures.
  • Assists with keeping department materials, contacts, intranet, etc. up to date.
  • Assists with the development of job aids, training materials, etc.
  • Presents a positive image in and out of the office to fellow employees, members, providers, and the community.

Requirements

• Associate or bachelor’s degree is required.
• 3+ years in an Account Manager or Implementation Specialist role with experience in a related industry (PBM, pharmacy, hospital/healthcare).
• Professional experience supporting hospital personnel and in-house pharmacies.
• High-level performance with a designated partner (SAE).
• Proficiency in Microsoft Office tools, including Excel, Word, PowerPoint, Outlook, and OneNote.
• Thorough knowledge of Employee Benefits insurance.
• Excellent oral and written communication skills.
• Strong analytical and critical thinking skills.
• Strong organization skills with the ability to prioritize in a dynamic environment.
• Ability to read, analyze, and interpret industry policies and contract documents.
• Self-motivated and able to excel while working independently with limited supervision or within a group or team.

Pay

Based on relevant market data and other factors, the anticipated hiring range for this role is $56,800 to $71,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.

Benefits

• Remote-first work environment.
• Choice of a HDHP or PPO Medical plan; 100% of the premium for the HDHP is paid for you and your eligible family members.
• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance with 100% of premiums paid (for your family too on Dental and Vision).
• Additional buy-up options for Short- and Long-Term Disability and Life Insurance.
• 401(k) with an employer match up to 3.5% available after 60 days.
• Community Service Day to give back and support what you love in your community.
• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving, plus a floating holiday to use as you like.
• Reimbursements for high-speed internet.
• Company-provided computer and monitors.
• Tuition Reimbursement for accredited degree programs.
• Paid New Parent Leave that can be used for adoption or birth.
• Pet insurance to protect your pets.
• A robust mental health benefit and EAP service through Spring Health.