SUMMARY:
The Senior Manager, Account Management is a people leader responsible for strategic oversight of Direct Payer accounts with a strong emphasis on revenue cycle performance, operational excellence, and transformation through technology and process discipline. This role leads a team of Account Executives, owns the financial and operational health of the assigned book of business, and drives change through the adoption of AI-enabled tools, structured workflows, and cross-functional alignment. The position serves as a key strategic partner across Operations, Revenue Cycle Management, Product, Finance, Clinical, and Technology teams to ensure coordinated strategy execution and measurable results.
RESPONSIBILITIES:
Strategic Leadership & Client Performance
Own the overall strategy, performance, and financial outcomes for a defined Direct Payer book of business
Drive alignment between client strategy, contractual obligations, operational execution, and enterprise priorities
Serve as escalation leader for complex payer issues impacting access, claims, reimbursement, or financial performance
Translate strategic objectives into actionable plans with clear accountability and measurable outcomes
Revenue Cycle Management (RCM) Ownership
Partner with Revenue Cycle Management teams to ensure strong claims performance, timely adjudication, issue resolution, and bad debt avoidance
Provide leadership oversight on root-cause analysis of RCM issues affecting client satisfaction or financial results
Ensure RCM performance insights are incorporated into client strategy, internal prioritization, and team execution
Hold teams accountable for proactive identification and escalation of RCM risks within the book of business
AI, Tools & Operational Discipline
Lead adoption and full utilization of enterprise tools, including AI-enabled solutions, reporting platforms, and workflow systems
Drive consistent use of tools for issue tracking, documentation, analytics, and performance management
Champion process standardization and structured execution to reduce variability and improve outcomes
Partner with Product, Technology, and AI teams to pilot, implement, and scale solutions that drive efficiency and insight
People Leadership & Team Development
Directly manage, coach, and develop Account Executives
Set clear expectations related to strategy execution, tool utilization, risk management, and performance outcomes
Foster a culture of accountability, continuous improvement, and data-driven decision-making
Support talent development, succession planning, onboarding, and performance management
Cross-Functional Partnership & Enterprise Alignment
Act as a strategic connector across Operations, RCM, Clinical, Product, Finance, Legal, and Underwriting teams
Ensure strategies and initiatives are coordinated across functions to avoid duplication and misalignment
Represent Account Management in enterprise initiatives, transformation efforts, and strategic workstreams
Influence change and outcomes through strong partnerships rather than formal authority
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
Bachelor's degree; MBA, PharmD or equivalent advanced degree preferred
Progressive leadership experience in specialty pharmacy, payer relations, PBM, or healthcare account management
Demonstrated success leading teams responsible for complex client portfolios
Strong knowledge of revenue cycle processes, claims operations, and payer reimbursement dynamics
Experience supporting Direct Payer or non-PBM-integrated health plan accounts
Proven ability to drive change, adopt new tools, and implement structured ways of working
Excellent strategic thinking, communication, and cross-functional leadership skills
Experience leading or sponsoring AI-enabled or technology transformation initiatives
Financial acumen with experience managing risk, performance guarantees, and/or margin outcomes
ROLE CHARACTERISTICS:
People leader role with direct reports
High strategic and operational accountability
Significant cross-functional collaboration and executive visibility
Direct impact on financial performance, client outcomes, and enterprise initiatives
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.
This role is also anticipated to be eligible to participate in an incentive compensation 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
