The Account Manager (AM) will have responsibility for overall operational performance strategy and execution for Accredo Specialty Pharmacy clients within the Direct payer space. Primary responsibilities include development and execution of broad service strategy in support of medium and small PBMs and National Health Plans ; as well as persistency, membership growth, and earnings targets. The AM effectively manages business relationships, collaborates, and communicates across all product/operational lines to ensure that systems and processes are in place to meet client/customer needs, and drive efficiency for the organization, segment, and team.
Role Components
Support the organization to achieve operational excellence, growth, profitability, and persistency objectives through effective patient service oversight, account retention, and management strategies
Effectively collaborates with Accredo partners on benefit, service, and relational strategies targeting enhanced patient and client experience
Maintains market/competitive knowledge on service trends and differentiators
Effectively collaborates with the Account Executive (AE) on broad account retention, growth, and satisfaction strategies (multi-product/operational collaboration for operations, network, marketing, product, etc.) drives inclusion of patient installation, product and service partners where appropriate
Collaborates with Account Executive on renewal activities, to include RFP involvement, service issues, PGs, CAPs, and implementations.
Develop/maintain "trusted-advisor" relationships with clients and patients; by proactively engaging in needs and goals discussions, and then leverages Accredo's capabilities and services to differentiate Accredo from the competition
Maintain in-depth knowledge of Accredo products/services across all product lines, benefit designs, access, patient care and outcomes reporting.
Maintains current knowledge of Accredo operational effectiveness and can confidently and effectively articulate impacts for the client, and patients
Lead in managing PG reporting requests to include analytics and presentation
Develop/implement Upsell and margin strategies for target accounts to drive enrollment growth, network access and drug adds.
Maintains basic understanding and conceptual application of underwriting principals, contracting and LOA process.
Effectively leverages resources to fulfill client onsite needs, offers creative and effective solutions to drive optimal client outcomes and satisfaction while balancing patient/client cost
Represents Accredo well in market based events, QBRs, on sites and over communications.
Qualifications
College Degree or a minimum of 5+ years equivalent related experience
Proficient knowledge (min of 3+ years) in healthcare / managed care business; to include many or all of the following: product knowledge, underwriting principals, risk and financial analysis skills, marketing processes, account management experience, and knowledge of pharmacy operations
Excellent communication, negotiation, influencing skills; exhibits courage
Strategic and financial savvy; ability to partner with AE to grow book of business
Demonstrated planning/organizational skills; ability to plan for both the long and short term; drive priorities and results
Demonstrated ability to foster strong working relationships; demonstrates leadership within a heavily matrixed environment
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 75,200 - 125,300 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (https://jobs.thecignagroup.com/us/en/benefits) .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
