Account Manager - PCMI

Duties And Responsibilities

• Account Management
• Overall servicing of their overall book of business under the PCMI platform.
• Provides day-to-day administration and delivering on the needs of the clients and brokers as it relates to Pinnacle TPA, PRxS, PHM and ancillary products.
• Supports and advises clients and brokers on self-funding, pharmacy benefits management, care management and utilization review, wellness, stop loss and print and distribution.
• Maintains client reference files on server for all assigned accounts, detailing past work and work-in-progress, and all pertinent information as it relates to meeting the customer’s/broker’s needs.
• Makes sure projects proceed according to plan and deadlines and identifies potential problems before they occur.
• Executes all product renewals in a timely manner to ensure a high PCMI retention rate.
• Fulfills a keen understanding of PCMI system tools including PERC/WERC/Healthview and HCPS operating systems to manage customer expectations and deliverables.
• Focuses on opportunities to drive results such as process improvement, expectations management and resolutions.
• Stays current on laws and regulations that impact the medical insurance industry.
• Upselling and Cross-sell
• Conducts analysis of reporting relative to claims history, pharmacy spend, chronic disease, etc. and determines if the clients’ health plans may be more successful in conjunction with PCMI ancillary products.
• Strategizes and collaborates with Sales in an effort to sell additional Pinnacle Products to create additional revenue for PCMI.
• Prior to renewal, works with brokers to identify opportunities to focus such efforts on.
• Collaborates with other internal departments to generate customer-specific proposals on our PCMI offerings.
• Has a clear understanding of the competitive landscape to effectively position PCMI products.
• Other
• Utilizes all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members.
• Does everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results.

PHYSICAL DEMANDS/WORKENVIRONMENT

• The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is regularly required to communicate with others.
• The employee frequently is required to operate a motor vehicle, use objects, tools, or controls, and/or required to lift up to 50lbs.
• The noise level in the work environment is usually moderate.