[Remote] Account Manager (Pharmacy Benefit Management)

Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is a company focused on Pharmacy Benefit Management, and they are seeking an Account Manager to support Brokers and Consultants during the after-sales phase of the business. This role is crucial for maintaining positive client relationships and requires strong organizational and communication skills.

Responsibilities

• 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
• 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
• 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
• Establishes and promotes goodwill with customer. Reviews client history and contacts customer as a follow-up activity
• 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
• 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
• Ensure all client and account information entered in Sales Force and DataNet is 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 basic to moderately complex 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
• All other assigned duties

Skills

• High School diploma is required
• 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
• Associate's or Bachelor's degree preferred
• Health / Pharmacy industry experience preferred

Benefits

• Remote first work environment
• Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
• Additional buy-up options for Short- and Long-Term Disability and Life Insurance
• 401(k) with an employer match up to 3.5% available after 60 days
• Community Service Day to give back and support what you love in your community
• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
• Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
• Tuition Reimbursement for accredited degree programs
• Paid New Parent Leave that can be used for adoption or birth
• Pet insurance to protect your furbabies
• A robust mental health benefit and EAP service through Spring Health to support you when you need it most

Company Overview