Title : Account Services Manager- BioPlus Specialty Pharmacy
Hybrid : 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.
Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer 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.
Build the Possibilities. Make an Extraordinary Impact.
The Account Services Manager is responsible for providing customer service representation and strategic planning for assigned accounts.
How you will make an impact:
Primary duties may include, but are not limited to:
Partners with assigned sales representative(s) to achieve sales or retention goals.
Works to ensure administration of contractual requirements and obligations.
Attends and participates in sales meetings, training programs, and in-services.
Maintains ongoing account relationships at multiple levels throughout the customers' organizations.
Makes recommendations for improvements to meet customers' expectations.
Communicates with physicians as to the outcome(s) of patient benefit investigations.
Supports specialty pharmacy in the delivery of medications by procuring missing documentation, communicating information to physician offices, and related activities.
Provides both on-site and off-site customer service.
Researches and resolves phone and written inquiries.
Coordinates open enrollment meetings, renewal process and training sessions.
Documents and ensures that brand drug specific program steps are adhered to.
Triages prescriptions to in-network pharmacy as necessary.
Follows up with health plans and/or physician offices to communicate status and obtain prior authorizations.
Maintains customer relationship management (i.e., CRM) and electronic medical records (i.e., EMR).
Minimum Requirements:
Requires a high school diploma or a GED equivalent and a minimum of 2 years experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Strongly prefer a minimum of 2 years related experience in specialty pharmacy.
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.
