Account Service Manager Sr
Location: Hybrid1: This role requires associates be in the 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.
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.
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 unit. The ideal candidate will bring a combination of Medicare account management expertise, strong operational execution, and a passion for delivering an exceptional client experience in a complex, fast-paced environment.
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.
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.
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.
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.
Travels to worksite and other locations as necessary.
Preferred Skills, Capabilities, and Experiences:
Experience supporting Medicare clients, with a strong preference for Medicare Employer Group Waiver Plan (EGWP) or other Medicare Advantage/Part D programs.
Experience working within a Pharmacy Benefit Manager (PBM) organization or supporting pharmacy benefit administration on the health plan/client side.
Demonstrated success managing day-to-day client relationships for large, strategic accounts.
Experience identifying operational gaps, implementing process improvements, and driving standardization across teams.
Self-starter with the ability to work independently, prioritize competing demands, and take ownership of issues through resolution.
Proven problem-solving skills with the ability to investigate complex issues, identify root causes, and coordinate solutions across cross-functional teams.
Ability to thrive in an evolving environment with changing priorities and ambiguous situations.
Strong client relationship management skills with experience building credibility and trust at multiple levels of client organizations.
Proficiency with Microsoft Office applications, including Excel and PowerPoint, with experience presenting client reporting and business reviews.
Serve as a trusted day-to-day partner for Medicare health plan clients, delivering responsive, high-quality service.
Anticipate client needs and proactively resolve issues before they become escalations.
Effectively coordinate across internal business partners to ensure timely and accurate issue resolution.
Identify opportunities to improve client experience and operational efficiency by documenting process gaps and driving process enhancements.
Adapt quickly to changing business needs while maintaining a high level of organization, professionalism, and accountability.
Contribute to a collaborative, high-performing account management team focused on client satisfaction and retention.
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration (https://info.flclearinghouse.com/) .
