Account Manager (Pharmacy Benefit Management)

Account Manager (Pharmacy Benefit Management)

RxBenefits is hiring! We are adding Account Managers to our growing team. The Account Manager position is one of the most crucial jobs within the organization. It directly supports the Broker(s) and Consultants during the after-sales phase of the business; then once the account is acquired, assumes coordinated responsibility with the Strategic Account Executive (SAE) of maintaining an extremely positive relationship with our clients. These positions may require up to 50% travel.

Job Responsibilities Include:

• Job Specifications & Communication
• Identifies client requirements, determines schedule availability, promotes services, defines process and related materials, provides quotation &contracts, acquires customer paperwork, mediates process, resolves issues, communicates job status, obtains personalization signs-offs and performs customer required data audit.
• Client Consultation
• Plays major advisory role by providing client consultation on, but not limited to, the following service and industry fundamentals; list presorting; key mail-piece design elements and materials, Hosts and/or participates in facility tours.
• Client Information & Awareness
• Responsible for understanding the Client’s organization & structure, knowing the Client’s product/services and staying aware of Client news and changes. Maintain and update Client record with changes. Communicates, monitors and assures proper billing procedures.
• Customer Continuity
• Establishes and promotes goodwill with customer. Reviews client history and contacts customer as a follow-up activity.
• Internal Work Order Facilitation
• Accountable for accurate and timely preparation of orders; initiates work orders for implementation, produces the expected reports, oversees, creates and/or assembles job packets, facilitates and generates data processing work order, coordinates receipt of data, audits and updates.

Job Duties Include:

• Lead contact and day-to-day administrator responsible for assigned clients with SAE.
• Highly engaged with the client and SAE from the transition of the client from Business Development, through the implementation process and throughout the client lifecycle.
• Document and keep all client and account information in Sales Force accurate and up to date.
• Maintains effective relationships with client contacts.
• Interprets plan rules to ensure compliance with plan documents and summary plan descriptions (SPD) or summary or benefits (SOB).
• Analyzes utilization reports and assists SAE in recommending benefit plan changes.
• Submits plan change requirement for assigned clients in coordination with SAE.
• Prepares and reviews written communications. Prepares renewal spreadsheets and letters. Prepares claims experience reports and renewal projections.
• Request and summarize proposals from insurance companies. Prepare benefit summaries for current and recommended plan changes.
• Leads special projects as needed.
• Maintains an ongoing effort to manage current benefit trends and legislated requirements and programs. Prepares and assure accuracy on audits, census data and quoting.
• Researches and resolves client issues.
• Supports SAE with research and client problem resolution.
• Attends and participates telephonically in the client reviews (on pre-determined schedule) to support SAE in documenting notes and assisting with follow-up items.
• Set priorities for analytical work in order to meet deadlines.
• Perform technical analysis of group insurance contracts and financial arrangements.
• Evaluate renewals for fairness and accuracy.
• Maintain necessary commissions for all plans and Brokers (as necessary).
• Participate in Best and Final presentations as needed.
• Think creatively to meet client needs and solve problems.
• Prepare and send out confirmation letters.
• Make regular service/relationship calls to clients.
• Preparation of reports deemed necessary by SAE, RxBenefits Senior Leadership and or broker.
• Communicate to our clients “Our Value-Added Service”.
• Meet or exceed Team and departmental goals established by the Director/VP.
• Assist with keeping department materials, contacts, intranet, etc. up to date.
• Assist with the development of job aids, training materials, etc.
• Present a positive image in and out of the office to fellow employees, members, providers, and the community.

Required Skills / Experience Include:

• High School diploma is required. Associate’s or Bachelor’s degree preferred.
• Health / Pharmacy industry experience preferred.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Thorough knowledge of Employee Benefits insurance. Ability to read, analyze and interpret industry policies and contract documents.
• Excellent presentation and communication skills.
• Strong analytical and critical thinking skills.
• Strong organization skills with the ability to prioritize in a dynamic environment.
• Self-motivated with the ability to work independently with limited supervision or within a group or team.