Account Service Manager Sr (US)

About the role

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Responsibilities

• 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, which may include 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.
• Captures and 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.

Requirements

• Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.
• Sales license may be required.
• Experience analyzing operational health care related data is strongly preferred.
• Experience leading Quarterly Business Reviews, projects, process improvement initiatives are strongly preferred.

Qualifications

• BA/BS degree.

Skills

• Strategic planning and account management skills.
• Contractual requirement and obligation management.
• New and renewal implementation process management.
• Customer relationship maintenance.
• Improvement recommendation development.
• Reporting process management.
• On-site and off-site account management.
• Plan design interpretation.
• Phone and written inquiry resolution.
• Claim and benefit issue resolution.
• Open enrollment meeting coordination.
• Renewal process and training session coordination.
• Product and operational enhancement design and implementation.
• Guidance and expertise provision to less experienced account service managers.
• Routine account visit participation.

Benefits

• Market-competitive total rewards package including merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement).
• Medical, dental, vision, short and long term disability benefits.
• 401(k) +match.
• Stock purchase plan.
• Life insurance.
• Wellness programs and financial education resources.

Pay

Commensurate with experience.

Schedule

5 days per week on 8-hour shifts.

Candidate should have availability from Monday through Friday within the operational hours of 8:00 am - 5:00 pm (ET).

Additional hours, including weekends or holidays, may be required based on operational needs.

Company Information

BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offers consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.