Account Service Manager Sr - Pharmacy Benefit Management
Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.
The Account Service Manager, Sr, is responsible for providing highly advanced account management representation and strategic planning for major accounts and serves as a lead for assigned accounts and units.
How you will make an impact:
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. Make recommendations for improvements to meet customers¿ expectations.
Develop implementation processes and manage 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.
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.
Make routine account visits to attend client meetings as necessary.
Minimum 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.
A sales license may be required.
Travels to worksite and other locations as necessary.
Preferred Experience, Skills, and Capabilities
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, as a subject matter expert and comfortable with influencing decision-making preferred.
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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
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.
We offer a range of market-competitive total rewards that include 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, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
